Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Ann Ilseman, MACOM, MS, MED

Individual provider Acupuncturist · NPI 1669059291

Kelly Ann Ilseman, MACOM, MS, MED is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

729 E Burnside St Ste 109
Portland, OR 97214-1264
Phone: (617) 784-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X (OR)

Record details

NPI number1669059291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACOM , MS , MED
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

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