Individual
HOLLY J ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. AC., LMT
Contact information
Practice address
895 COUNTRY CLUB RD, A-140, EUGENE, OR 97401-6003
(541) 484-3055
Mailing address
PO BOX 50773, EUGENE, OR 97405-0996
(303) 725-1850
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
545
CO
171100000X
Acupuncturist
Primary
AC178265
OR
225700000X
Massage Therapist
22247
OR
Other
Enumeration date
01/30/2009
Last updated
10/17/2016
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