Organization
INTEGRATIVE WELLNESS ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRI SEVICK LAC, RN (OWNER, OPERATOR)
(971) 221-5640
Entity
Organization
Contact information
Practice address
3016 NE KILLINGSWORTH ST, PORTLAND, OR 97211-6814
(971) 221-5640
Mailing address
5226 NE AINSWORTH ST, PORTLAND, OR 97218-2314
(971) 221-5640
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
99381098
OR
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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