Organization
ANAHATA MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AUTUMN EDWARDS LAC (OWNER)
(503) 547-7870
Entity
Organization
Contact information
Practice address
6902 SE LAKE RD, STE 203, MILWAUKIE, OR 97267-2148
(503) 547-7870
Mailing address
6902 SE LAKE RD, STE 203, MILWAUKIE, OR 97267-2148
(503) 547-7870
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
179439
OR
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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