| NPI | 1053961698 |
|---|---|
| Former Legal Business Name | STEPHANIE GRANT ACUPUNTURE LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GREGORY Owner, Licensed Acupuncturist 503-686-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |