Organization
12 RED HAMMERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN GRACE LAC (PRINCIPAL)
(503) 913-8551
Entity
Organization
Contact information
Practice address
8528 N CALHOUN AVE, PORTLAND, OR 97203-2405
(503) 913-8551
Mailing address
8528 N CALHOUN AVE, PORTLAND, OR 97203-2405
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170452
OR
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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