Organization
HEALING PATH HOLISTIC MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANJA MIDDELVELD L.AC. (CO-OWNER)
(503) 513-4665
Entity
Organization
Contact information
Practice address
3880 SE HARRISON ST, MILWAUKIE, OR 97222-5854
(503) 513-4665
Mailing address
3880 SE HARRISON ST, MILWAUKIE, OR 97222-5854
(503) 513-4665
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00694
OR
Other
Enumeration date
05/01/2006
Last updated
08/22/2020
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