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Organization
WELL BALANCED
Active
Organization
WELL BALANCED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GLASSER L.AC. (PRESIDENT)
(541) 762-1755
Entity
Organization
Contact information
Practice address
1413 CHARNELTON ST, EUGENE, OR 97401-3906
(541) 762-1755
(541) 638-0068
Mailing address
1413 CHARNELTON ST, EUGENE, OR 97401-3906
(541) 762-1755
(541) 638-0068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
OR
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/04/2012
Last updated
03/19/2015
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