| NPI | 1841420692 |
|---|---|
| Doing Business As | ACUPUNCTURE ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | MARYA E. DEDA BARAKAT L Ac, Lmt 503-282-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC00978) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2011-08-18 |