Organization
GATHER COMMUNITY ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LYNN BAUCUM LAC (OWNER)
(503) 683-2826
Entity
Organization
Contact information
Practice address
1809 NE 2ND AVE, PORTLAND, OR 97212-3933
(503) 683-2826
Mailing address
1809 NE 2ND AVE, PORTLAND, OR 97212-3933
(503) 329-3578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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