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Organization

ANJUNA ACUPUNCTURE & INTEGRATED MEDICINE

Active
Other names
Anjuna Sports Acupuncture, Anjuna Medicine, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN J. HEIDE L.AC (OWNER)
(619) 240-6497
Entity
Organization

Contact information

Practice address
656 CHARNELTON ST, EUGENE, OR 97401-2689
(619) 240-6497
(541) 343-1455
Mailing address
656 CHARNELTON ST, EUGENE, OR 97401-2689
(619) 240-6497
(541) 343-1455

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC164157
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC164157
OREGON MEDICAL BOARD
OR
01
AC169614
OREGON MEDICAL BOARD
OR
Enumeration date
04/29/2015
Last updated
02/12/2025
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