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

Individual provider Acupuncturist · NPI 1760769525

Michael Thomas Leake, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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

3615 NE Grand Ave
Portland, OR 97212-2104
Phone: (503) 208-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 156585

Record details

NPI number1760769525
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESNovember 8, 2011

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