Organization
GREEN WILLOW ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMDEN GRIFFIN LAC (MEMBER)
(541) 350-0723
Entity
Organization
Contact information
Practice address
911 NE 4TH ST, SUITE 2, BEND, OR 97701-4647
(541) 678-1162
(512) 493-6178
Mailing address
911 NE 4TH ST, SUITE 2, BEND, OR 97701-4647
(541) 678-1162
(512) 493-6178
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/28/2016
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