Organization
MT ROSE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROSENBERG L.AC. (OWNER/PROVIDER)
(530) 894-6420
Entity
Organization
Contact information
Practice address
333 NE RUSSELL ST STE 209, PORTLAND, OR 97212-3762
(530) 894-6420
Mailing address
5856 NE 24TH AVE, PORTLAND, OR 97211-6126
(415) 860-9211
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/11/2023
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