| NPI | 1316104862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA TADAVARTHY Owner, Manager, Practitioner 503-819-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01167) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |