Organization
DANIEL RAIDER, ACUPUNCTURIST LLC
Active
Parent organization
DANIEL RAIDER, ACUPUNCTURIST LLC
Other names
FullStride Acupuncture
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL RAIDER, ACUPUNCTURIST LLC
Authorized official
MR. DANIEL RAIDER MA.O.M, L.AC. (ACUPUNCTURIST)
(503) 314-1878
Entity
Organization
Contact information
Practice address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210-3400
(503) 314-1878
Mailing address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210-3400
(503) 314-1878
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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