Individual
STEPHANIE WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 SE CASS AVE STE 318, ROSEBURG, OR 97470-4954
(541) 357-7685
Mailing address
727 SE CASS AVE STE 318, ROSEBURG, OR 97470-4954
(302) 763-2725
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC206962
OR
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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