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Organization

LOOM ACUPUNCTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HALEY KATHERINE BOTT DACM, LAC (ACUPUNCTURIST)
(619) 607-8779
Entity
Organization

Contact information

Practice address
1626 NE ALBERTA ST STE C, PORTLAND, OR 97211-5048
(503) 210-1665
Mailing address
735 NE ROSELAWN ST, PORTLAND, OR 97211-3831
(619) 607-8779

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
06/12/2025
Last updated
06/12/2025
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