| NPI | 1720596117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANNA HABER Owner 503-928-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC161513) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OK AC153031) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |