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Individual

PAULI IIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, DIPLOM

Contact information

Practice address
631 E 19TH AVE BLDG B, EUGENE, OR 97401-4304
(907) 299-7005
Mailing address
950 MONROE ST, HARRISBURG, OR 97446
(907) 299-7005

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC217539
OR
171100000X
Acupuncturist
Primary
ACUA142
AK

Other

Enumeration date
02/25/2014
Last updated
03/24/2025
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