Individual
MATT VINCENT VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LA.C
Contact information
Practice address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Mailing address
110 S. STATE ST, SUTHERLIN, OR 97479
(541) 459-7410
(541) 229-9987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
185911
OR
Other
Enumeration date
01/05/2018
Last updated
03/09/2020
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