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Organization

EAST MEETS WEST ACUPUNCTURE AND MASSAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WANDA ELIZABETH NORMAN MACOM, LAC, LMT (CEO,)
(503) 261-1120
Entity
Organization

Contact information

Practice address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
Mailing address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150417
OR
225700000X
Massage Therapist
12447
OR

Other

Enumeration date
04/05/2010
Last updated
04/06/2010
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