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Organization
CORVALLIS ACUPUNCTURE AND FUNCTIONAL MEDICINE, LLC
Active
Organization
CORVALLIS ACUPUNCTURE AND FUNCTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER B DIAZ L.AC. (LEAD PRACTITIONER)
(541) 380-1327
Entity
Organization
Contact information
Practice address
1760 SW 3RD ST, CORVALLIS, OR 97333-1725
(541) 380-1327
(541) 588-6208
Mailing address
475 NE CONIFER BLVD, CORVALLIS, OR 97330-4195
(541) 380-1327
(541) 588-6208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
08/23/2019
Last updated
05/01/2020
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