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Organization
MATTHEW V. VACCARO LAC INC
Active
Organization
MATTHEW V. VACCARO LAC INC
Active
Other names
Misty Mountain Acupuncture and Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW VINCENT VACCARO LA.C (OWNER/ACUPUNCTURIST)
(541) 459-7410
Entity
Organization
Contact information
Practice address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Mailing address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
03/09/2020
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