Organization
EARTH-MOON ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY CHILDS L.AC. (PRESIDENT)
(503) 939-5541
Entity
Organization
Contact information
Practice address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 383-9796
(971) 273-6658
Mailing address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 383-9796
(971) 273-6658
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC150966
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687546
—
OR
Enumeration date
01/08/2015
Last updated
10/22/2016
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