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Organization

SOUTHERN WIND ACUPUNCTURE

Active
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Organization

SOUTHERN WIND ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN PARISH LAC (BUSINESS OWNER)
(858) 354-5039
Entity
Organization

Contact information

Practice address
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217-3130
(858) 354-5039
Mailing address
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217-3130
(858) 354-5039

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC182001
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500730871
—
OR
Enumeration date
10/20/2017
Last updated
10/20/2017
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