| NPI | 1033482781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL DAVIS Owner 541-738-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00999) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01000) |
| 225700000X Massage Therapist (Licence: OR 13160) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |