Organization
YOUR HEALING PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KSENIYA STEVENS LAC L.AC. (OWNER-OPERATOR)
(541) 480-4970
Entity
Organization
Contact information
Practice address
2275 NE DOCTORS DR STE 11B, BEND, OR 97701-6324
(541) 480-4970
Mailing address
2660 NE HIGHWAY 20, #610-450, BEND, OR 97701-6402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01017
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427105345
NPI
OR
Enumeration date
01/16/2015
Last updated
01/16/2015
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