Organization
HEALING RIVER CLINIC OF ACUPUNCTURE AND MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TANIS CHIK LAC, LMT (OWNER)
(503) 690-3215
Entity
Organization
Contact information
Practice address
15285 NW CENTRAL DR, SUITE 202, PORTLAND, OR 97229-0973
(503) 690-3215
(503) 690-3291
Mailing address
15285 NW CENTRAL DR, SUITE 202, PORTLAND, OR 97229-0973
(503) 690-3215
(503) 690-3291
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00932
OR
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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