Individual
MARY JO HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
135 NW 33RD ST APT B1, NEWPORT, OR 97365-1631
(541) 961-6525
(541) 574-0481
Mailing address
107 SW COAST ST, NEWPORT, OR 97365-3925
(541) 961-6525
(541) 574-0481
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01207
OR
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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