Organization
MANDALA ACUPUNCTURE & BODYWORK. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMA TUPPER LAC, LMT (OWNER)
(503) 341-6459
Entity
Organization
Contact information
Practice address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 341-6459
Mailing address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 341-6459
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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