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

Kelly Lynn Baucum, LAC

Individual provider Acupuncturist · NPI 1104284736

Kelly Lynn Baucum, LAC is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1809 NE 2nd Ave
Portland, OR 97212-3933
Phone: (503) 683-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC175542 (OR)

Record details

NPI number1104284736
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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