| NPI | 1376867366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA ROGGOW Acupuncturist 503-502-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00627) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5722) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2012-04-05 |