| NPI | 1568851335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KSENIYA STEVENS LAC Owner Operator 541-480-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01017) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |