Vibrant Health Center Llc | |
29980 Ellensburg Ave, Gold Beach, OR 97444-7808 | |
(541) 247-7000 | |
Not Available |
Full Name | Vibrant Health Center Llc |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 29980 Ellensburg Ave, Gold Beach, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144628777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC169995 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Vibrant Health Center Llc Po Box 727, Gold Beach, OR 97444-0727 Ph: (541) 247-7000 | Vibrant Health Center Llc 29980 Ellensburg Ave, Gold Beach, OR 97444-7808 Ph: (541) 247-7000 |
Mr. Ryan James Girard, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 29692 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-247-2030 | |
Vannesza Eunice Girard, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 29692 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-247-2030 | |
Agnieszka Mglej Kemp, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 29980 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-247-7000 Fax: 541-247-9000 |