| NPI | 1417207184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYNDRETH STEAD President & CEO 503-235-7653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 1510566-3) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2020-12-03 |