Organization
PIVOT HEALTH ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER NATHANIEL ANDRES DAOM, LAC (ACUPUNCTURIST)
(503) 607-2226
Entity
Organization
Contact information
Practice address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
(360) 882-7373
(503) 659-2276
Mailing address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
(503) 607-2226
(503) 659-2276
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
AC60351775
WA
Other
Enumeration date
03/12/2014
Last updated
01/26/2024
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