Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revivanation LLC

Organization Acupuncturist · NPI 1629490388

Revivanation LLC is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

914 SW 11th Ave
Portland, OR 97205-2001
Phone: (503) 765-5333
Fax: (888) 495-4549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17523 (OR)
Acupuncturist Taxonomy 171100000X · Licence AC01286 (OR)
Massage Therapist Taxonomy 225700000X · Licence 13830 (OR)

Record details

NPI number1629490388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Burbank — Owner/Therapist · (503) 765-5333
Other names Eyem
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing address914 Sw 11th Ave, Portland, OR 97205-2001

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