Organization
NORA GROD LAC LLC
Active
Other names
Bow & Arrow Eastern Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NORA GROD LAC (OWNER)
(503) 893-9289
Entity
Organization
Contact information
Practice address
1235 SE DIVISION ST, STE 106A, PORTLAND, OR 97202-1042
(503) 893-9289
(503) 238-5128
Mailing address
1235 SE DIVISION ST, STE 106A, PORTLAND, OR 97202-1042
(503) 893-9289
(503) 238-5128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC140945
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500669452
—
OR
Enumeration date
10/17/2012
Last updated
05/10/2017
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