Organization
MOVING MOUNTAIN INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCMAHON L.AC, LMT (OWNER/PROVIDER)
(503) 985-9625
Entity
Organization
Contact information
Practice address
4203 SE HAWTHORNE BLVD, SUITE A, PORTLAND, OR 97215-3160
(503) 985-9625
(888) 958-0782
Mailing address
4203 SE HAWTHORNE BLVD, SUITE A, PORTLAND, OR 97215-3160
(503) 985-9625
(888) 958-0782
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578790226
INDIVIDUAL NPI
OR
Enumeration date
09/15/2016
Last updated
09/15/2016
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