Organization
MATTHEW V. VACCARO LAC INC
Active
Other names
Misty Mountain Acupuncture and Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW VINCENT VACCARO LA.C (OWNER/ACUPUNCTURIST)
(541) 459-7410
Entity
Organization
Contact information
Practice address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Mailing address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
03/09/2020
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