Organization
WASHOUGAL ACUPUNCTURE AND MASSAGE, LLC
Active
Other names
Washougal Acupuncture and Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PHILIP OLSON (OWNER)
(503) 367-7823
Entity
Organization
Contact information
Practice address
1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
(360) 208-0520
Mailing address
1436 A ST, STE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
(360) 208-0520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60619873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638844
—
OR
Enumeration date
08/24/2012
Last updated
01/19/2016
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