Organization
VITAL LIFE ACUPUNCTURE CLINIC, LLC
Active
Other names
Lita Buttolph
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LITA BUTTOLPH DSOM (ACUPUNCTURIST)
(503) 358-0739
Entity
Organization
Contact information
Practice address
3007 SE BELMONT ST, PORTLAND, OR 97214-4026
(503) 445-7115
(503) 445-7116
Mailing address
6322 SE 46TH AVE, PORTLAND, OR 97206-7039
(503) 358-0739
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
03/12/2022
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