Fertile Spring, LLC

NPI #1790518124 in Jacksonville, Oregon

Provider Information

NPI Number: 1790518124
Entity Type: Organization
Organization Name: Fertile Spring, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Aug 21, 2024
Last Updated: Aug 21, 2024

Practice Location

Address: 235 W D ST
City: Jacksonville
State: Oregon
ZIP Code: 97530-0038
Phone: (541) 838-0980

Authorized Official

Name: TARA ANDERSON, L.AC., FABORM
Title: OWNER
Phone: (541) 838-0980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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