Mandala Acupuncture & Bodywork. LLC

NPI #1013350065 in Portland, Oregon

Provider Information

NPI Number: 1013350065
Entity Type: Organization
Organization Name: Mandala Acupuncture & Bodywork. LLC
Primary Specialty: Acupuncturist
Enumeration Date: Apr 9, 2013
Last Updated: Apr 9, 2013

Practice Location

Address: 925 NW DAVIS ST
City: Portland
State: Oregon
ZIP Code: 97209-3103
Phone: (503) 341-6459

Authorized Official

Name: UMA TUPPER, LAC, LMT
Title: OWNER
Phone: (503) 341-6459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Acupuncturist	171100000X	Primary

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