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

Individual provider Acupuncturist · NPI 1174495998

Maxx Bridget Tanklage, LAC is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
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

3526 NE 57th Ave
Portland, OR 97213
Phone: (503) 335-9440
Fax: (503) 493-7281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC217940 (OR)

Record details

NPI number1174495998
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025

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