| NPI | 1417207994 |
|---|---|
| Doing Business As | SPORTLAND ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE MOORE RENAE MOORE Acupuncturist 503-679-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC156421) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |