NPI | 1417101437 |
---|---|
Doing Business As | SHALENA HAVENS |
Entity Type | Organization |
Authorized Contact | SHALENA DAWN HAVENS President 503-886-9708 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC90017) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2008-11-05 |