| Sacred Body Acupuncture And Massage, Llc | |
|
1904 Elm St, Suite 4, Forest Grove, OR 97116-2553 | |
| (503) 490-4185 | |
| Not Available |
| Full Name | Sacred Body Acupuncture And Massage, Llc |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 1904 Elm St, Forest Grove, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548530413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC156406 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Body Acupuncture And Massage, Llc 41613 Nw Buckshire St, Banks, OR 97106-6006 Ph: (503) 490-4185 | Sacred Body Acupuncture And Massage, Llc 1904 Elm St, Suite 4, Forest Grove, OR 97116-2553 Ph: (503) 490-4185 |
Jane Burch Pesses, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2004 Main St Ste 200, Forest Grove, OR 97116 Phone: 503-992-1443 Fax: 503-316-1970 | |
Corina Lee Bruckner, L.AC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1904 Elm St, Suite 4, Forest Grove, OR 97116 Phone: 503-490-4185 |