Gretchen Landis L.AC, LMT

NPI 1073699930 - Acupuncturist - 171100000X

NPI Details
NPI 1073699930
Gender Female
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1332 MAIN ST.
Phone (541) 929-7462
Business Location
PO BOX 968
PHILOMATH OR, 97370-0968, US
Phone (541) 929-7462
Taxonomy Code 171100000X
License State Oregon
License Number AC00294
Remove 1073699930 NPI Number

According to our database, Gretchen Landis L.AC, LMT NPI is 1073699930, taxonomy code is 171100000X and license number is AC00294, license state is located at Oregon. Gretchen Landis L.AC, LMT physically located at 1332 Main St., Philomath OR, 97370. NPI Number Gretchen Landis L.AC, LMT has the Individual type.

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1073699930 NPI number is provided on an as is basis without warranty of any kind. 1073699930 is maintained by the National Plan & Provider Enumeration System. The contents of Gretchen Landis L.AC, LMT are for informational purposes only.