Organization
WESTLAKE INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL YUTAN MD (MEDICAL DOCTOR)
(503) 479-5608
Entity
Organization
Contact information
Practice address
14535 WESTLAKE DR STE B, LAKE OSWEGO, OR 97035-7775
(503) 479-5608
Mailing address
14110 GABRIELLE CT, LAKE OSWEGO, OR 97035-5759
(503) 314-7889
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114963196
TYPE 1 NPI
—
Enumeration date
05/05/2025
Last updated
05/05/2025
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