Luminous Life Acupuncture LLC

NPI #1588107718 in Gresham, Oregon

Provider Information

NPI Number: 1588107718
Entity Type: Organization
Organization Name: Luminous Life Acupuncture LLC
Primary Specialty: Acupuncturist
Enumeration Date: Nov 19, 2016
Last Updated: Nov 19, 2016

Practice Location

Address: 109 N MAIN AVE
Address 2: STE 201
City: Gresham
State: Oregon
ZIP Code: 97030-7200
Phone: (503) 502-4190

Authorized Official

Name: ARIANNE SIERRA KELLER, LAC
Title: ACUPUNCTURIST/OWNER
Phone: (503) 502-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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