Organization
BLUE SKY ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R POOL LAC (OWNER)
(503) 474-7446
Entity
Organization
Contact information
Practice address
330 SE BAKER ST., MCMINNVILLE, OR 97128
(503) 474-7446
(866) 454-3484
Mailing address
330 SE BAKER ST., MCMINNVILLE, OR 97128
(503) 474-7446
(866) 454-3484
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01147
OR
171100000X
Acupuncturist
AC153240
OR
Other
Enumeration date
03/07/2008
Last updated
04/16/2018
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