Moving Mountain Institute, INC.
Acupuncturist in Portland, OR. Organization (NPI-2).
NPI number1669920864
StatusActive
Last updated in NPPESSep 15, 2016
Details
- NPI
- 1669920864
- Entity type
- Organization (NPI-2)
- Legal business name
- Moving Mountain Institute, INC.
- Organization subpart
- No
- Enumeration date
- Sep 15, 2016
- Last updated
- Sep 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC156717 | OR | Yes |
Practice location
4203 Se Hawthorne BlvdSuite A
Portland, OR 97215-3160
Phone 503-985-9625 · Fax 888-958-0782
Mailing address
4203 Se Hawthorne BlvdSuite A
Portland, OR 97215-3160
Phone 503-985-9625 · Fax 888-958-0782
Authorized official
Michael McMahon
Owner/Provider
5039859625
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