Organization
DR. LU'S ACUPUNTURE & MASSAGE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN LU LAC DAOM (LAC)
(503) 317-3113
Entity
Organization
Contact information
Practice address
12778 SE STARK ST., BLAZA 125, BLDG B, PORTLAND, OR 97233
(503) 317-3113
(503) 459-4709
Mailing address
12778 SE STARK ST., BLAZA 125, BLDG B, PORTLAND, OR 97233
(503) 317-3113
(503) 459-4709
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002588
WA
171100000X
Acupuncturist
Primary
AC00498
OR
Other
Enumeration date
07/08/2010
Last updated
10/08/2014
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