Organization
RED BIRD HEALING ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIER KING LAC (MANAGING MEMBER)
(503) 740-5464
Entity
Organization
Contact information
Practice address
2928 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4147
(503) 740-5464
Mailing address
2928 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4147
(503) 740-5464
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150389
OR
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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