Organization
ROSE CITY BABY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAN DIRKS L.AC (OWNER/DIRECTOR)
(425) 445-5893
Entity
Organization
Contact information
Practice address
1616 SE ANKENY ST, PORTLAND, OR 97214-1448
(425) 445-5893
(503) 296-5617
Mailing address
1616 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 961-9711
(503) 296-5617
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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