Individual
MARJON MIRBAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2100 NE NEFF RD, SUITE A, BEND, OR 97701-6213
(541) 388-0675
(541) 388-0685
Mailing address
2100 NE NEFF RD, SUITE A, BEND, OR 97701-6213
(541) 388-0675
(541) 388-0685
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00855
OR
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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