Individual provider · Type 1 NPI

Alexis Miranda Lively, LAC

Acupuncturist · Portland, OR

NPI number 1629368196 Active · reactivated Feb 3, 2021

Practice location

210 NW 17th Ave Ste 201
Portland, OR 97209-2151

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist Primary 171100000XAC202639 (OR)
Massage Therapist 225700000X17304 (OR)

Acupuncturist: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Other acupuncturist providers in Portland

See all in Portland →

About NPI 1629368196

Alexis Miranda Lively, LAC's National Provider Identifier is 1629368196, issued on Apr 18, 2011. The primary taxonomy on file is Acupuncturist (171100000X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2026.