Provider Demographics
NPI:1063671006
Name:HEALING ARTS CENTER
Entity Type:Organization
Organization Name:HEALING ARTS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-472-5797
Mailing Address - Street 1:700 E FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4508
Mailing Address - Country:US
Mailing Address - Phone:503-472-5797
Mailing Address - Fax:503-435-2534
Practice Address - Street 1:707 E 5TH ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4508
Practice Address - Country:US
Practice Address - Phone:503-472-5797
Practice Address - Fax:503-435-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00750251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management