Organization
ACUPUNCTURE & NATURAL MEDICINE CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE LYNN JOHNSON L.AC. (OWNER)
(503) 436-2255
Entity
Organization
Contact information
Practice address
1355 SOUTH HEMLOCK STREET, CANNON BEACH, OR 97110
(503) 436-2255
Mailing address
PO BOX 1292, CANNON BEACH, OR 97110-1292
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AC01225
OR
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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