Provider Demographics
NPI:1003157405
Name:WANG, SEN (LAC)
Entity Type:Individual
Prefix:MR
First Name:SEN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 JOHN DAY DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-6038
Mailing Address - Country:US
Mailing Address - Phone:503-739-5169
Mailing Address - Fax:541-610-1559
Practice Address - Street 1:74 E 18TH AVE STE 7
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4081
Practice Address - Country:US
Practice Address - Phone:503-739-5169
Practice Address - Fax:541-610-1559
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-09
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC161359171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist