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Organization
OPEN SKY NATURAL MEDICINE, LLC
Active
Organization
OPEN SKY NATURAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHRA JACKIW LAC (OWNER)
(971) 350-8508
Entity
Organization
Contact information
Practice address
1623 SE 6TH AVE, STE. 200, PORTLAND, OR 97214-3502
(971) 350-8508
(971) 275-1552
Mailing address
1623 SE 6TH AVE, STE. 200, PORTLAND, OR 97214-3502
(971) 350-8508
(971) 275-1552
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500773023
—
OR
Enumeration date
09/27/2023
Last updated
03/18/2024
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