Organization
QUALITY OF LIFE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE UNDERWOOD LAC (DOCTOR OF ACUPUNCTURE)
(971) 220-7312
Entity
Organization
Contact information
Practice address
9735 SW SHADY LN STE 306, TIGARD, OR 97223-5481
(971) 220-7312
(971) 220-7313
Mailing address
15984 NW RYEGRASS ST, PORTLAND, OR 97229-9214
(971) 220-7312
(971) 220-7313
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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