Individual
MEGAN WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39420 SE GORDON CREEK RD, CORBETT, OR 97019-8750
(503) 695-2977
Mailing address
PO BOX 70, CORBETT, OR 97019-0070
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC210395
OR
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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