Organization
ACUPUNCTURE AT RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN D. LEONARD L.AC. (OWNER)
(541) 474-1974
Entity
Organization
Contact information
Practice address
957 SE 7TH ST, GRANTS PASS, OR 97526-3103
(541) 474-1974
(541) 474-1975
Mailing address
957 SE 7TH ST, GRANTS PASS, OR 97526-3103
(541) 474-1974
(541) 474-1975
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00799
OR
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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