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

Melissa Ks Bautista, MACOM, LAC

Individual provider Acupuncturist · NPI 1760194534

Melissa Ks Bautista, MACOM, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
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

833 SE Main St Ste 323
Portland, OR 97214-3427
Phone: (503) 894-0064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 524 Se 14th Ave, Portland, OR 97214-2428 — (971) 544-7058

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC208634 (OR)

Record details

NPI number1760194534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACOM , LAC
Sole proprietorYes
NPI enumeratedDecember 23, 2022
Last updated in NPPESDecember 23, 2022
Certification dateDecember 22, 2022

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