Individual
MR. ADAM WARREN ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
24985 HWY 140 E, BONANZA, OR 97623-9744
(541) 591-5303
Mailing address
24985 HWY 140 E, BONANZA, OR 97623-9744
(541) 591-5303
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC196830
OR
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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