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

Mr. Justin Thomas Janicki, LAC, MACOM, DIPLOM

Individual provider Acupuncturist · NPI 1013152958

Mr. Justin Thomas Janicki, LAC, MACOM, DIPLOM is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
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

5230 NE Fremont St
Portland, OR 97213-1735
Phone: (716) 680-0636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC01233 (OR)

Record details

NPI number1013152958
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , MACOM , DIPLOM
Sole proprietorYes
NPI enumeratedDecember 5, 2008
Last updated in NPPESDecember 5, 2008

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