Individual
RICHARD CLARK ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
312 MAIN STREET, TALENT, OR 97540
(541) 535-5082
Mailing address
PO BOX 960, TALENT, OR 97540-0960
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213171
—
OR
05
—
213176
—
OR
Enumeration date
02/13/2007
Last updated
07/09/2007
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