Individual
ELLISIA BOND GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1633 WILLAMETTE STREET, EUGENE, OR 97401
(541) 465-9642
(541) 345-2423
Mailing address
1264 PEARL STREET, APT. 1, EUGENE, OR 97401
(802) 318-6604
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC187822
OR
171100000X
Acupuncturist
ACU.0002066
CO
Other
Enumeration date
05/04/2016
Last updated
09/05/2018
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