Individual
MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1845 HIGHWAY 126 UNIT H, FLORENCE, OR 97439-9626
(541) 991-3917
(541) 991-3918
Mailing address
83377 SPRUCE LN, FLORENCE, OR 97439-8322
(206) 931-4500
(541) 991-3918
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002944
WA
171100000X
Acupuncturist
AC198662
OR
Other
Enumeration date
11/13/2007
Last updated
05/15/2021
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