Individual
MR. RICHARD NOEL LAVIOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1285 CAPITOL ST NE, SALEM, OR 97301-7325
(503) 580-2331
Mailing address
935 HOOD ST NE, SALEM, OR 97301-7807
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 00686
OR
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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