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

Individual provider Acupuncturist · NPI 1184828956

Mae Cecile Costello, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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

2143 NE Broadway St Ste 107C
Portland, OR 97232-1512
Phone: (503) 309-3963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC00936 (OR)

Record details

NPI number1184828956
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESJuly 8, 2007

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