Individual
KULSOOM K SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
704 COTTAGE ST NE, SALEM, OR 97301-2410
(503) 877-2210
Mailing address
704 COTTAGE ST NE, SALEM, OR 97301-2410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC184222
OR
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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