Organization
LAUGHING BIRCH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIA BAKI LMT (OWNER)
(541) 914-5883
Entity
Organization
Contact information
Practice address
260 E 15TH AVE STE F, EUGENE, OR 97401-4177
(541) 914-5883
Mailing address
260 E 15TH AVE STE F, EUGENE, OR 97401-4177
(541) 914-5883
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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