| NPI | 1154661163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHAVIXAY SUNDARA Acupunturist 503-382-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR AC151174) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |