Green Willow Acupuncture, LLC

NPI #1174980809 in Bend, Oregon

Provider Information

NPI Number: 1174980809
Entity Type: Organization
Organization Name: Green Willow Acupuncture, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Jan 26, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 911 NE 4TH ST
Address 2: SUITE 2
City: Bend
State: Oregon
ZIP Code: 97701-4647
Phone: (541) 678-1162

Authorized Official

Name: EMDEN GRIFFIN, LAC
Title: MEMBER
Phone: (541) 350-0723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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