NPI | 1710401070 |
---|---|
Former Legal Business Name | EVOLUTIONARY MEDICINE LLC |
Entity Type | Organization |
Authorized Contact | JAMES DON WHITMORE Owner 541-410-5135 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR 170228) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2022-07-21 |