Organization
BODY & MIND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA JEAN JOHNSON DAOM, L.AC. (OWNER/ ACUPUNCTURIST)
(503) 886-9238
Entity
Organization
Contact information
Practice address
11825 SW GREENBURG RD STE 110, TIGARD, OR 97223-6466
(503) 886-9238
(866) 818-1133
Mailing address
11825 SW GREENBURG RD STE 110, TIGARD, OR 97223-6466
(503) 886-9238
(866) 818-1133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01056
OR
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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