Organization
ATSA ACUPUNCTURE
Active
Other names
Atsa Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
BOSTEN INGRAM MACOM, LAC (ACUPUNCTURIST, OWNER)
(541) 550-9695
Entity
Organization
Contact information
Practice address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(541) 550-9695
(503) 845-9350
Mailing address
690 N MAIN ST, MOUNT ANGEL, OR 97362-9518
(541) 550-9695
(503) 845-9350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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