| NPI | 1306312764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH DRAKE Owner 971-295-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-05-19 |