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Organization
WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC
Active
Organization
WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC
Active
Other names
Washougal Acupuncture and Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PHILIP OLSON (OWNER)
(503) 367-7823
Entity
Organization
Contact information
Practice address
1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
(360) 208-0520
Mailing address
1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
(360) 208-0520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60619873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638844
—
OR
Enumeration date
08/24/2012
Last updated
01/19/2016
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