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ANTARA ACUPUNCTURE AND HERBAL CLINIC LLC NPI 1356692115


NPI Information

NPI: 1356692115
Provider Name: ANTARA ACUPUNCTURE AND HERBAL CLINIC LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
130 NW MILLER AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 665-2344
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ANTARA ACUPUNCTURE AND HERBAL CLINIC LLC is an acupuncturist in Gresham, OR. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. ANTARA ACUPUNCTURE AND HERBAL CLINIC LLC NPI is 1356692115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 NW MILLER AVE
GRESHAM, OR
ZIP 97030-226
Phone: (503) 665-2344
Fax: (503) 665-2337

The provider's authorized official is Katelyn Decker .
The authorized official title is Owner/licensed Acupuncturist and has the following contact phone number (971) 235-1171.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist150593OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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