Individual
LEA C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC.
Contact information
Practice address
1554 NE 4TH STREET, MIDTOWN WELLNESS CENTER, BEND, OR 97701
(541) 550-0847
(541) 209-5570
Mailing address
PO BOX 8629, BEND, OR 97708-8629
(541) 550-0847
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
201675
OR
Other
Enumeration date
12/22/2016
Last updated
06/12/2022
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