Sundara Acupuncture LLC

NPI #1154661163 in Beaverton, Oregon

Provider Information

NPI Number
1154661163
Entity Type
Organization
Organization Name
Sundara Acupuncture LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Feb 28, 2013
Last Updated
Feb 28, 2013

Practice Location

Address
17175 SW LISA ST
State
Oregon
ZIP Code
97006-4185
Phone
(503) 382-7179

Authorized Official

Name
MR. PHAVIXAY SUNDARA, LAC
Title
ACUPUNTURIST
Phone
(503) 382-7179

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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