| NPI | 1679317861 |
|---|---|
| Doing Business As | TANIS KLECKLER, ND LAC |
| Entity Type | Organization |
| Authorized Contact | TANIS KLECKLER Owner, CEO, Physician 503-997-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |