Organization
TABOR VIEW HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LYNN PERUZZI LAC (OWNER, ACUPUNCTURIST)
(503) 758-3579
Entity
Organization
Contact information
Practice address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(503) 808-9145
(503) 473-8085
Mailing address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(503) 808-9145
(503) 473-8085
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159736
OR
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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