Organization
SARAH FRANCES BUTLER FAN
Active
Other names
Young Pine Acupuncture LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FRANCES BUTLER FAN LAC (SOLE PROPRIETOR)
(503) 877-5633
Entity
Organization
Contact information
Practice address
12750 SW 2ND ST STE 102, BEAVERTON, OR 97005-2779
(503) 877-5633
(503) 350-1470
Mailing address
12750 SW 2ND ST STE 102, BEAVERTON, OR 97005-2779
(503) 877-5633
(503) 350-1470
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
153088
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073817748
NPI TYPE 1
OR
Enumeration date
01/12/2012
Last updated
11/06/2020
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