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Illumination Rock Integrative Medicine, LLC

Clinic/Center in Portland, OR · enumerated 2019 · authorized official Kirsten Isakson, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356905855

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Registry record

Entity type Organization (Type 2)
Legal business name Illumination Rock Integrative Medicine, LLC
Practice address 4035 Se 52nd Ave Ste B, Portland, OR, 97206
Phone (503) 482-7556
Fax (971) 244-9171
Enumeration date Apr 30, 2019
Last updated in NPPES Mar 30, 2022

Taxonomy & classification

171100000X Acupuncturist Other Service Providers Secondary
175F00000X Naturopath Other Service Providers Secondary
2081N0008X Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kirsten Isakson
Title Managing Member
Phone (971) 229-2140

Other identifiers

Identifier Type State Issuer
1932568458 Other - NPI TYPE 1
500703138 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Illumination Rock Integrative Medicine, LLC?
NPPES lists Kirsten Isakson (Managing Member) as the authorized official for this organization.
What is the NPI number for Illumination Rock Integrative Medicine, LLC?
The NPI for Illumination Rock Integrative Medicine, LLC is 1356905855, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-30.