Illumination Rock Integrative Medicine, Llc is a Clinic/Center based in Portland, OR. Illumination Rock Integrative Medicine, Llc practices in Portland, OR. The NPI Number for Illumination Rock Integrative Medicine, Llc is 1356905855 and holds a License No. (Oregon).
The current practice location address for Illumination Rock Integrative Medicine, Llc is 4035 Se 52Nd Ave Ste B, Portland, OR and can be reached out via phone at 503-482-7556 and via fax at 971-244-9171.
Location: 4035 Se 52Nd Ave Ste B, Portland, OR, 97206-3913
Provider Profile Details
NPI Number
1356905855
Provider Name
Illumination Rock Integrative Medicine, Llc
Credential
Provider Entity Type
Organization
Address
4035 Se 52Nd Ave Ste B, Portland, OR, 97206-3913
Phone Number
503-482-7556
Fax Number
971-244-9171
Provider Enumeration Date
04/30/2019
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932568458 | 01 | NPI TYPE 1 | |
| 500703138 | 05 | OR |
Provider Business Practice Location Address Details
Address
4035 Se 52Nd Ave Ste B
City
State
Zip
97206-3913
Phone Number
503-482-7556
Fax Number
971-244-9171
Provider Business Mailing Address Details
Address
4035 Se 52Nd Ave Ste B
City
State
Zip
97206-3913
Phone Number
503-482-7556
Fax Number
971-244-9171
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Naturopath
Speciality
-
Taxonomy
License No.
()
Definition
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Neuromuscular Medicine
Taxonomy
License No.
()
Definition
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
License No.
()
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Provider's Taxonomy Details 5
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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