Organization
NDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELISHA RUNNE GERBER ND, LAC (OWNER)
(407) 257-3557
Entity
Organization
Contact information
Practice address
836 E MAIN ST STE 5, MEDFORD, OR 97504-7115
(541) 773-8111
(541) 773-9501
Mailing address
PO BOX 1421, MEDFORD, OR 97501-0106
(541) 773-8111
(541) 773-9501
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500731820
—
OR
Enumeration date
01/19/2020
Last updated
01/19/2020
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