Individual
MS. HOPI JANE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
102 N MAIN ST, HALFWAY, OR 97834-2018
(541) 406-0615
(541) 972-8646
Mailing address
PO BOX 442, HALFWAY, OR 97834-0442
(541) 406-0615
(541) 972-8646
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14586
CA
Other
Enumeration date
04/12/2011
Last updated
04/20/2018
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