MISS Anita Tadavarthy, MACOM, LAC

NPI #1013208321 in Tigard, Oregon

Provider Information

NPI Number: 1013208321
Entity Type: Individual
Name: MISS Anita Tadavarthy, MACOM, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: MACOM, LAC
Enumeration Date: Apr 21, 2011
Last Updated: Apr 21, 2011

Practice Location

Address: 7110 SW FIR LOOP
Address 2: SUITE 205
City: Tigard
State: Oregon
ZIP Code: 97223-8084
Phone: (503) 819-2904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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