Individual
HOLLY ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
78590 ECHO HOLLOW LN, COTTAGE GROVE, OR 97424-8552
(541) 767-0162
Mailing address
78590 ECHO HOLLOW LN, COTTAGE GROVE, OR 97424-8552
(541) 767-0162
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC00814
STATE LICENSE
OR
Enumeration date
11/01/2006
Last updated
07/08/2007
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