Provider Demographics
NPI:1356502470
Name:SOLOMON, ARIEL (LAC)
Entity Type:Individual
Prefix:MISS
First Name:ARIEL
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4312
Mailing Address - Country:US
Mailing Address - Phone:541-515-6446
Mailing Address - Fax:
Practice Address - Street 1:1359 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4312
Practice Address - Country:US
Practice Address - Phone:541-515-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01186171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist