| NPI | 1073050241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYDER KARDOKAS-JOHANSON Owner/Operator 541-500-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC180365) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-02-05 |