| NPI | 1902591357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLYNN CLAIRE DIDLICK BOHMAN Business Owner / Acupuncturist 503-913-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-02-06 |