Organization
LUMINOUS LIFE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANNE SIERRA KELLER LAC (ACUPUNCTURIST/OWNER)
(503) 502-4190
Entity
Organization
Contact information
Practice address
109 N MAIN AVE, STE 201, GRESHAM, OR 97030-7200
(503) 502-4190
Mailing address
15235 SE MARKET CT, PORTLAND, OR 97233-3345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC180192
OR
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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