| NPI | 1386027050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JAN Acupuncturist 503-236-9609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC164280) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-07-26 |