Great River LLC
NPI #1043067580 in Stevenson, Washington
Provider Information
- NPI Number
- 1043067580
- Entity Type
- Organization
- Organization Name
- Great River LLC
- Primary Specialty
- Acupuncturist
- Enumeration Date
- May 2, 2024
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 40 SW CASCADE AVE # 40F
- City
- Stevenson
- State
- Washington
- ZIP Code
- 98648-6284
- Phone
- (509) 416-6191
Authorized Official
- Name
- KATHERINE KAMPMANN, L.AC.
- Title
- OWNER
- Phone
- (509) 416-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Acupuncturist |
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