Organization
TJ ACUPUNCTURE LLC
Active
Other names
TJ acupuncture and Herbal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAIPING JIA OMD (LAC.)
(503) 475-9657
Entity
Organization
Contact information
Practice address
7110 SW FIR LOOP, SUITE 205, TIGARD, OR 97223-8084
(503) 475-9657
Mailing address
5677 BONITA RD, LAKE OSWEGO, OR 97035-3217
(503) 475-9657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00654
OR
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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