Dancing Aspen Healing Arts LLC

NPI #1902591357 in Gresham, Oregon

Provider Information

NPI Number: 1902591357
Entity Type: Organization
Organization Name: Dancing Aspen Healing Arts LLC
Primary Specialty: Acupuncturist
Enumeration Date: Apr 10, 2023
Last Updated: Feb 6, 2024

Practice Location

Address: 22400 SE STARK ST STE 106
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 913-2136

Authorized Official

Name: CAITLYNN CLAIRE DIDLICK BOHMAN, DACM, MACOM, LAC
Title: BUSINESS OWNER / ACUPUNCTURIST
Phone: (503) 913-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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