Organization
WYEAST ACUPUNCTURE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIANGJUN DONG (PRINCIPLE)
(503) 501-9891
Entity
Organization
Contact information
Practice address
9735 SW SHADY LN, SUITE 306, TIGARD, OR 97223-5481
(503) 343-9828
Mailing address
9735 SW SHADY LN, SUITE 306, TIGARD, OR 97223-5481
(503) 343-9828
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170036
OR
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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