Daniel Raider, Acupuncturist LLC

NPI #1003387390 in Portland, Oregon

Provider Information

NPI Number: 1003387390
Entity Type: Organization
Organization Name: Daniel Raider, Acupuncturist LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DANIEL RAIDER, ACUPUNCTURIST LLC
Primary Specialty: Acupuncturist
Enumeration Date: Dec 11, 2018
Last Updated: Dec 11, 2018

Practice Location

Address: 2330 NW FLANDERS ST STE 101
City: Portland
State: Oregon
ZIP Code: 97210-3400
Phone: (503) 314-1878

Authorized Official

Name: MR. DANIEL RAIDER, MA.O.M, L.AC.
Title: ACUPUNCTURIST
Phone: (503) 314-1878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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