| NPI | 1255626552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLY ANDREA KEAHI BANNISTER Acupuncturist 971-998-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 150426) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |