Brooklyn Pdx Acupuncture LLC
Acupuncturist in Portland, OR. Organization (NPI-2).
NPI number1982209508
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1982209508
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooklyn Pdx Acupuncture LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2020
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
3880 Se Brooklyn StPortland, OR 97202-1674
Phone 503-236-2389
Mailing address
1430 Se 14th Ave Apt 110Portland, OR 97214-3658
Phone 203-913-2829
Authorized official
Meghan Nolan
Co-Ceo
2039132829
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