Individual
BRUCE PRENTISS LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2118 HIGHWAY 101 N BLDG 1, YACHATS, OR 97498-9416
(541) 547-2285
Mailing address
PO BOX 522, YACHATS, OR 97498-0522
(541) 270-8540
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC207669
OR
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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