Individual
MIKA LINETTE WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
612 N 1ST ST, SILVERTON, OR 97381-1404
(503) 873-6705
Mailing address
612 N 1ST ST, SILVERTON, OR 97381-1404
(503) 873-6705
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
091.0099715
VT
171100000X
Acupuncturist
Primary
AC169428
OR
Other
Enumeration date
08/22/2014
Last updated
02/16/2016
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