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Organization

MIA NEUSE, L.AC., LLC

Active
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Organization

MIA NEUSE, L.AC., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIA M NEUSE L.AC. (LICENSED ACUPUNCTURIST)
(503) 539-9180
Entity
Organization

Contact information

Practice address
7925 SE STARK ST, PORTLAND, OR 97215-2341
(503) 467-4127
(503) 459-4183
Mailing address
7925 SE STARK ST, PORTLAND, OR 97215-2341
(503) 467-4127
(503) 459-4183

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00963
OR

Other

Enumeration date
04/02/2012
Last updated
04/02/2012
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