Organization
BOUNCE BACK ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. BALOGH L.AC. (ACUPUNCTURIST)
(503) 515-4457
Entity
Organization
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 240, BEAVERTON, OR 97006-8116
(503) 515-4457
(503) 419-6065
Mailing address
6225 SW WILSON AVE, BEAVERTON, OR 97008-4461
(503) 515-4457
(503) 419-6065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC156571
OR
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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