Organization
ELEMENTAL HEALING ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THEODORE BADGER ND, LAC (FOUNDER)
(802) 236-8304
Entity
Organization
Contact information
Practice address
5050 NE 13TH AVE, PORTLAND, OR 97211-5080
(802) 236-8304
Mailing address
5050 NE 13TH AVE, PORTLAND, OR 97211-5080
(802) 236-8304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC179544
OR
175F00000X
Naturopath
Primary
4013
OR
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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