Acupuncture Center,pc
Acupuncturist in Salem, OR. Organization (NPI-2).
NPI number1104099449
StatusActive
Last updated in NPPESApr 8, 2008
Details
- NPI
- 1104099449
- Entity type
- Organization (NPI-2)
- Legal business name
- Acupuncture Center,pc
- Organization subpart
- No
- Enumeration date
- Apr 8, 2008
- Last updated
- Apr 8, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC00027 | OR | Yes |
Practice location
1880 Lancaster Dr NeSuite 111
Salem, OR 97305-1089
Phone 503-371-8770 · Fax 503-371-8770
Mailing address
1880 Lancaster Dr NeSuite 111
Salem, OR 97305-1089
Phone 503-371-8770 · Fax 503-371-8770
Authorized official
Gene Clark Bruno
Owner
5033718770
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