Raven Sara, LAC

NPI #1093778789 in Grants Pass, Oregon

Provider Information

NPI Number: 1093778789
Entity Type: Individual
Name: Raven Sara, LAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Apr 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 850 NW 6TH ST
Address 2: STE 3
City: Grants Pass
State: Oregon
ZIP Code: 97526
Phone: (541) 479-5659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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