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Organization
MOUNTAIN VIEW ACUPUNCTURE, LLC
Active
Organization
MOUNTAIN VIEW ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDA MARJON FAIVRE L.AC. (OWNER)
(541) 388-0675
Entity
Organization
Contact information
Practice address
2195 NW SHEVLIN PARK RD, SUITE 150, BEND, OR 97703-7102
(541) 388-0675
(541) 388-0685
Mailing address
2195 NW SHEVLIN PARK RD, SUITE 150, BEND, OR 97703-7102
(541) 388-0675
(541) 388-0685
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013073238
NPPES
OR
01
—
1306395892
NPPES
OR
01
—
1538538822
NPPES
OR
01
—
1972660603
NPPES
OR
Enumeration date
11/08/2016
Last updated
11/08/2016
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