Organization
PURA VIDA ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY GREEN (ACUPUNCTURE)
(503) 305-5099
Entity
Organization
Contact information
Practice address
3689 CARMAN DR STE 300, LAKE OSWEGO, OR 97035-2620
(503) 305-5099
Mailing address
3689 CARMAN DR STE 300, LAKE OSWEGO, OR 97035-2620
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160489
OR
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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