# WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washougal Acupuncture and Massage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902154974
- **Authorized official:** JEFF PHILIP OLSON (OWNER)
- **Authorized official phone:** (503) 367-7823

## Contact information

- **Practice address:** 1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
- **Practice address phone:** (360) 207-0134
- **Practice address fax:** (360) 208-0520
- **Mailing address:** 1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
- **Mailing address phone:** (360) 207-0134
- **Mailing address fax:** (360) 208-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 60619873 | WA | Yes |

## Other

- **Enumeration date:** 08/24/2012
- **Last updated:** 01/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500638844 | — | OR |