Organization · NPI-2

Acupuncture Works LLC

Acupuncturist · Gresham, OR

NPI number1184764987
StatusActive
Last updated in NPPESApr 18, 2017

Details

NPI
1184764987
Entity type
Organization (NPI-2)
Legal business name
Acupuncture Works LLC
Organization subpart
No
Enumeration date
Feb 8, 2007
Last updated
Apr 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC000567ORYes

Practice location

24850 Se Stark St Suite 200
Gresham, OR 97030-2656

Phone 503-665-9355 · Fax 503-661-3430

Mailing address

24850 Se Stark St Suite 200
Gresham, OR 97030-2656

Phone 503-665-9355 · Fax 503-661-3430

Authorized official

Michelle Gaulke Blackwood
Owner
5036659355

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