Organization
MIAN YAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARBY VALLEY DAOM, L.AC. (CHAIRMAN OF THE BOARD)
(541) 357-7530
Entity
Organization
Contact information
Practice address
206 S 13TH ST, COTTAGE GROVE, OR 97424-2313
(541) 357-7530
Mailing address
206 S 13TH ST, COTTAGE GROVE, OR 97424-2313
(541) 357-7530
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC140938
OR
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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