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

Individual provider Acupuncturist · NPI 1679399133

Travis Nieto-Hollestelle, LAC is an Acupuncturist in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
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

17500 NW Cornell Rd Apt 3
Beaverton, OR 97006-3201
Phone: (541) 639-2734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC222947 (OR)

Record details

NPI number1679399133
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 1, 2024

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