| NPI | 1003387390 |
|---|---|
| Doing Business As | FULLSTRIDE ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | DANIEL RAIDER Acupuncturist 503-314-1878 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |