| NPI | 1598106692 |
|---|---|
| Former Legal Business Name | HEAL GROW THRIVE ACUPUNCTURE LLC |
| Entity Type | Organization |
| Authorized Contact | MARGARET ILEANA BOURLAND Owner/Sole Member 541-639-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC153140) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 4026) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-04-16 |