| NPI | 1720635733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER B DIAZ Lead Practitioner 541-380-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-05-01 |