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Organization
TWO CRANES ACUPUNCTURE AND MASSAGE, LLC
Active
Organization
TWO CRANES ACUPUNCTURE AND MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL DAVIS L.AC (OWNER)
(541) 738-6117
Entity
Organization
Contact information
Practice address
1230 NW GARFIELD AVE, CORVALLIS, OR 97330-2056
(541) 738-6117
(541) 753-0828
Mailing address
1230 NW GARFIELD AVE, CORVALLIS, OR 97330-2056
(541) 738-6117
(541) 753-0828
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00999
OR
171100000X
Acupuncturist
AC01000
OR
225700000X
Massage Therapist
13160
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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