Organization
NORTHWEST ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IN HYONGYU YU DAOM (OWNER)
(503) 297-1174
Entity
Organization
Contact information
Practice address
10224 SW PARK WAY # A, PORTLAND, OR 97225-5010
(503) 297-1174
(503) 297-2623
Mailing address
10224 SW PARK WAY # A, PORTLAND, OR 97225-5010
(503) 297-1174
(503) 297-2623
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AC01149
OR
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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