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

Mr. Jason Richard Costello, LAC

Individual provider Acupuncturist · NPI 1407997679

Mr. Jason Richard 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

909 SW 12th Ave 111
Portland, OR 97205-2070
Phone: (310) 993-9429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC00987 (OR)

Record details

NPI number1407997679
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007

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