Organization
LAGNIAPPE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ATCHLEY L.AC. (OWNER)
(504) 451-1666
Entity
Organization
Contact information
Practice address
839 NW SACAJAWEA PL, CAMAS, WA 98607-4104
(504) 451-1666
Mailing address
8040 NE SANDY BLVD STE 100A, PORTLAND, OR 97213-7100
(504) 451-1666
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC165105
OR
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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