Organization
TALISMAN ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN MILLS LAC (OWNER)
(503) 287-9889
Entity
Organization
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 287-9889
(855) 395-9094
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 287-9889
(855) 395-9094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC175531
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205295466
PROVIDER NPI
OR
05
—
500713157
—
OR
Enumeration date
11/04/2016
Last updated
11/04/2016
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