| |
309 Laurel Ave, Tillamook, OR 97141-2313 | |
(503) 842-6532 | |
(503) 842-5191 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 309 Laurel Ave, Tillamook, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962662411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC00812 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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4505 Se Boise St, Portland, OR 97206-4037 Ph: (971) 998-7064 | 309 Laurel Ave, Tillamook, OR 97141-2313 Ph: (503) 842-6532 |
Katherine Delleney, M.S.O.M., L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 309 Laurel Ave, Tillamook, OR 97141 Phone: 503-842-6532 Fax: 503-842-5191 |