Organization
THRIVING ACUPUNCTURE
Active
Parent organization
PAUL STORM
Other names
Paul Storm
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL STORM
Authorized official
PAUL M STORM MACOM, LAC (ACUPUNCTURIST)
(406) 407-0766
Entity
Organization
Contact information
Practice address
1708 NW 25TH AVE APT 6, PORTLAND, OR 97210-2435
(406) 407-0766
(406) 407-0766
Mailing address
1708 NW 25TH AVE APT 6, PORTLAND, OR 97210-2435
(406) 407-0766
(406) 407-0766
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC185005
OR
Other
Enumeration date
12/18/2017
Last updated
06/11/2019
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