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Organization

VITAL HEALTH CENTER, INC.

Active
Other names
Vital Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFRED THIEME III L.AC., DIPL. AC. (CHIEF EXECUTIVE OFFICER)
(503) 481-0283
Entity
Organization

Contact information

Practice address
1417 SE 34TH AVE, PORTLAND, OR 97214-4225
(503) 481-0283
(503) 536-6590
Mailing address
1417 SE 34TH AVE, PORTLAND, OR 97214-4225
(503) 481-0283
(503) 536-6590

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01143
OR

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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