Organization
ACUPUNCTURE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HAGUE LAC, LMT (ACUPUNCTURIST)
(503) 504-2416
Entity
Organization
Contact information
Practice address
3939 NE MLK BLVD, SUITE 203, PORTLAND, OR 97212-1150
(503) 504-2416
Mailing address
3004 NE 22ND AVE, PORTLAND, OR 97212-3450
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC00321
OR
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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