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

Individual provider Acupuncturist · NPI 1760561674

Stephanie Petix Willard, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
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

1033 SW Yamhill St Ste 100
Portland, OR 97205-2545
Phone: (503) 227-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC00575 (OR)

Record details

NPI number1760561674
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESJanuary 18, 2008

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