# INSIGHT OSTEOPATHIC MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538430921
- **Authorized official:** MAUREEN MCCLENON SACON DO (OWNER)
- **Authorized official phone:** (503) 491-5555

## Contact information

- **Practice address:** 22400 SE STARK ST, GRESHAM, OR 97030-2656
- **Practice address phone:** (503) 491-5555
- **Practice address fax:** (503) 674-5005
- **Mailing address:** 22400 SE STARK ST, GRESHAM, OR 97030-2656
- **Mailing address phone:** (503) 491-5555
- **Mailing address fax:** (503) 674-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO20023 | OR | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | — |
| 224Y00000X | Clinical Exercise Physiologist | — | — | — |
| 225700000X | Massage Therapist | 6654 | OR | — |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012