Provider Demographics
NPI:1225708142
Name:THREE LANTERNS ACUPUNCTURE INC
Entity Type:Organization
Organization Name:THREE LANTERNS ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAMIG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-754-9621
Mailing Address - Street 1:2748 NE TILLAMOOK ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-5063
Mailing Address - Country:US
Mailing Address - Phone:503-754-9621
Mailing Address - Fax:
Practice Address - Street 1:4605 NE FREMONT ST STE 204D
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1715
Practice Address - Country:US
Practice Address - Phone:503-754-9621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center