Individual
KATHERINE BROOKE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC, MAOM
Contact information
Practice address
426 NW 4TH ST, CORVALLIS, OR 97330
(541) 602-8172
Mailing address
426 NW 4TH ST, CORVALLIS, OR 97330
(541) 602-8172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
153659
OR
Other
Enumeration date
04/08/2011
Last updated
03/10/2015
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