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Organization

VIBRANT LIFE ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY SPENCE (ACUPUNCTURIST)
(503) 515-7702
Entity
Organization

Contact information

Practice address
15962 BOONES FERRY RD, SUITE 202, LAKE OSWEGO, OR 97035-4351
(503) 515-7702
Mailing address
15962 BOONES FERRY RD, SUITE 202, LAKE OSWEGO, OR 97035-4351
(503) 515-7702

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159474
OR

Other

Enumeration date
12/17/2015
Last updated
04/21/2016
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