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Organization
TJ ACUPUNCTURE LLC
Active
Organization
TJ ACUPUNCTURE LLC
Active
Other names
TJ acupuncture and Herbal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAIPING JIA OMD (LAC.)
(503) 475-9657
Entity
Organization
Contact information
Practice address
7110 SW FIR LOOP, SUITE 205, TIGARD, OR 97223-8084
(503) 475-9657
Mailing address
5677 BONITA RD, LAKE OSWEGO, OR 97035-3217
(503) 475-9657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00654
OR
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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