| NPI | 1679754709 |
|---|---|
| Doing Business As | LAKE ROAD ACUPUNCTURE & MASSAGE |
| Entity Type | Organization |
| Authorized Contact | CAROL KIM GRIESMEYER President 503-653-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00831) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-06-21 |