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

Individual provider Acupuncturist · NPI 1154724193

Vidhra Maureen Jackiw, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
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

1623 SE 6th Ave Ste 200
Portland, OR 97214-3502
Phone: (971) 350-8508
Fax: (971) 275-1552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC169857 (OR)

Record details

NPI number1154724193
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedOctober 5, 2014
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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