| NPI | 1801165048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KJELL CAMERON MOLINE Owner 503-241-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC01254) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18104) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |