| NPI | 1205175999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE WHITMIRE Manger 503-362-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |