DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURCE INTEGRATIVE MEDICINE LLC

Active Organization

SOURCE INTEGRATIVE MEDICINE LLC is a Acupuncturist organization located in PORTLAND, Oregon. NPI 1275918278 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · PORTLAND, OR

Registration Details

NPI Number
1275918278
Provider Type
Organization
NPI Issued
Jul 21, 2015 (11.085088609338 yrs)
Last Updated
Aug 6, 2015
License
AC165411 (OR)

Practice Information

Address
4424 NE GLISAN ST
PORTLAND, OR, 972132331
Browse OR providers · Browse ZIP 97213
Phone
5039286728
Fax
5032965917
Primary Specialty
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.