Individual
SHAYLA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
999 SW DISK DR STE 105, BEND, OR 97702-3060
(541) 639-8911
Mailing address
105 NW GREELEY AVE, BEND, OR 97703-2913
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC194633
OR
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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