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Organization
ROGUE VALLEY ACUPUNCTURE, LLC
Active
Organization
ROGUE VALLEY ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN R HARRIS DACM, L.AC. (OWNER)
(541) 218-8603
Entity
Organization
Contact information
Practice address
845 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 218-8603
(541) 295-8235
Mailing address
845 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 218-8603
(541) 295-8235
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500791045
—
OR
Enumeration date
01/17/2023
Last updated
01/17/2023
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