NPI | 1841624194 |
---|---|
Former Legal Business Name | KRISHNA BADER, L.AC |
Entity Type | Organization |
Authorized Contact | KRISHNA AVALON Owner 503-522-2872 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR ac01299) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2017-01-09 |