Organization · NPI-2

12 Red Hammers, LLC

Acupuncturist · Portland, OR

NPI number1821462920
StatusActive
Last updated in NPPESNov 30, 2015

Details

NPI
1821462920
Entity type
Organization (NPI-2)
Legal business name
12 Red Hammers, LLC
Organization subpart
No
Enumeration date
Nov 30, 2015
Last updated
Nov 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC170452ORYes

Practice location

8528 N Calhoun Ave
Portland, OR 97203-2405

Phone 503-913-8551

Mailing address

8528 N Calhoun Ave
Portland, OR 97203-2405

Authorized official

Stefan Grace
Principal
5039138551

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