Individual
MR. ROSS E WEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
298 SW HARWOOD, PRINEVILLE, OR 97754
(541) 447-3893
Mailing address
646 SE 2ND ST, PRINEVILLE, OR 97754-2304
(541) 728-8955
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
01007
OR
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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