Individual
MANDI RAE SCHWENDIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC MAC
Contact information
Practice address
724 LYON ST SW, ALBANY, OR 97321-2921
(541) 928-2171
(541) 981-2113
Mailing address
PO BOX 311, TANGENT, OR 97389-0311
(541) 928-2171
(541) 928-2171
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00630
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17898
NCCAOM
—
01
—
AC00630
OREGON LICENSE
OR
Enumeration date
02/22/2007
Last updated
03/14/2022
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