Organization
PRIME ACUPUNCTURE AND HERBOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIANG JI LAC (OWNER)
(715) 497-4778
Entity
Organization
Contact information
Practice address
2305 SE WASHINGTON ST STE 110, MILWAUKIE, OR 97222-7647
(559) 745-5030
Mailing address
2305 SE WASHINGTON ST STE 110, MILWAUKIE, OR 97222-7647
(559) 745-5030
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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