Organization
GREAT RIVER LLC
Active
Other names
Hey Moon Community Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE KAMPMANN L.AC. (OWNER)
(509) 416-6191
Entity
Organization
Contact information
Practice address
40 SW CASCADE AVE # 40F, STEVENSON, WA 98648-6284
(509) 416-6191
Mailing address
PO BOX 1351, STEVENSON, WA 98648-1351
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/02/2024
Last updated
10/29/2024
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