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5501 Ne 109th Ct Suite L Vancouver WA 98662-6177 | |
(503) 683-2138 | |
(360) 891-8000 |
Full Name | |
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Speciality | Clinic/center |
Location | 5501 Ne 109th Ct, Vancouver, Washington |
Authorized Official Name and Position | Jessica Tatieze Temgoua (LICENSED ACUPUNCTURIST) |
Authorized Official Contact | 5036832138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5501 Ne 109th Ct Suite L Vancouver WA 98662-6177 Ph: (503) 683-2138 | 5501 Ne 109th Ct Suite L Vancouver WA 98662-6177 Ph: (503) 683-2138 |
NPI Number | 1760736474 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |
Identifier | Type | State | Issuer |
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1760736474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | AC60197016 (Washington) | Primary |
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