| NPI | 1144986068 |
|---|---|
| Other Name | WILD MOUNTAIN MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MADELINE CHAVEZ Owner 541-944-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |