Organization
DANCING ASPEN HEALING ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYNN CLAIRE DIDLICK BOHMAN DACM, MACOM, LAC (BUSINESS OWNER / ACUPUNCTURIST)
(503) 913-2136
Entity
Organization
Contact information
Practice address
22400 SE STARK ST STE 106, GRESHAM, OR 97030-2656
(503) 913-2136
(503) 825-0137
Mailing address
333 NW WALLULA AVE, GRESHAM, OR 97030-5410
(503) 913-2136
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
02/06/2024
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