Organization
ORENCO ACUPUNCTURE & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN E BAKER MACOM, DIPL AC, LAC (OPERATING MANAGER)
(503) 516-5703
Entity
Organization
Contact information
Practice address
6125 NE CORNELL RD, SUITE 230, HILLSBORO, OR 97124-5412
(503) 516-5703
Mailing address
6125 NE CORNELL RD, SUITE 230, HILLSBORO, OR 97124-5412
(503) 516-5703
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC154147
OR
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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