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Organization
SARAH FRANCES BUTLER FAN
Active
Organization
SARAH FRANCES BUTLER FAN
Active
Other names
Young Pine Acupuncture LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FRANCES BUTLER FAN LAC (SOLE PROPRIETOR)
(503) 877-5633
Entity
Organization
Contact information
Practice address
12750 SW 2ND ST STE 102, BEAVERTON, OR 97005-2779
(503) 877-5633
(503) 350-1470
Mailing address
12750 SW 2ND ST STE 102, BEAVERTON, OR 97005-2779
(503) 877-5633
(503) 350-1470
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
153088
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073817748
NPI TYPE 1
OR
Enumeration date
01/12/2012
Last updated
11/06/2020
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