Organization
RIVERSPIRIT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENS BRODERSEN RIOGEIST PHD LAC (OWNER)
(503) 538-5128
Entity
Organization
Contact information
Practice address
2504-A PORTLAND ROAD, NEWBERG, OR 97132
(503) 538-5128
(503) 538-0282
Mailing address
2504-A PORTLAND ROAD, NEWBERG, OR 97132
(503) 538-5128
(503) 538-0282
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00704
OR
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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