Stephanie Petix Willard L.AC.

NPI 1760561674 - Acupuncturist - 171100000X

NPI Details
NPI 1760561674
Gender Female
Enumeration Date 11/02/2006
Last Updated 01/18/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1033 SW YAMHILL ST
STE 100
PORTLAND OR, 97205-2545, US
Phone (503) 227-8781
Fax
Business Location
1033 SW YAMHILL ST.
STE 100
PORTLAND OR, 97205, US
Phone
Fax
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC00575
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According to our database, Stephanie Petix Willard L.AC. NPI is 1760561674, taxonomy code is 171100000X and license number is AC00575, license state is located at Oregon. Stephanie Petix Willard L.AC. physically located at 1033 Sw Yamhill St, Portland OR, 97205-2545. NPI Number Stephanie Petix Willard L.AC. has the Individual type.

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1760561674 NPI number is provided on an as is basis without warranty of any kind. 1760561674 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Petix Willard L.AC. are for informational purposes only.