| NPI | 1679928543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER COLELLA Member Manager 541-326-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01181) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |