Organization · NPI-2
Aasa-Lisa'S Acupuncture,llc
Acupuncturist · Portland, OR
NPI number1205009644
StatusActive
Last updated in NPPESApr 7, 2008
Details
- NPI
- 1205009644
- Entity type
- Organization (NPI-2)
- Legal business name
- Aasa-Lisa'S Acupuncture,llc
- Organization subpart
- No
- Enumeration date
- Apr 7, 2008
- Last updated
- Apr 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC00874 | OR | Yes |
Practice location
4850 Sw Scholls Ferry RdSte 201
Portland, OR 97225-1669
Phone 503-515-2657
Mailing address
4850 Sw Scholls Ferry RdSuite 201
Portland, OR 97225-1669
Phone 503-515-2657
Authorized official
Lisa Thorborg
L.Ac.
5035152657
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