Corvallis Acupuncture and Functional Medicine, LLC

NPI #1720635733 in Corvallis, Oregon

Provider Information

NPI Number: 1720635733
Entity Type: Organization
Organization Name: Corvallis Acupuncture and Functional Medicine, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Aug 23, 2019
Last Updated: May 1, 2020

Practice Location

Address: 1760 SW 3RD ST
City: Corvallis
State: Oregon
ZIP Code: 97333-1725
Phone: (541) 380-1327

Authorized Official

Name: MR. ALEXANDER B DIAZ, L.AC.
Title: LEAD PRACTITIONER
Phone: (541) 380-1327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Acupuncturist	171100000X	Primary

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