| NPI | 1609579879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN COSTLEY Licensed Acupuncturist 503-560-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |