Individual
PAIGE BOUVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 S 6TH ST, COTTAGE GROVE, OR 97424-2016
(541) 357-7530
Mailing address
35 S 6TH ST, COTTAGE GROVE, OR 97424-2016
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219145
OR
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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