Provider Demographics
NPI:1417127374
Name:DAOIST INSTITUTE OF HEALING ARTS INC.
Entity Type:Organization
Organization Name:DAOIST INSTITUTE OF HEALING ARTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, LAC
Authorized Official - Phone:541-908-5413
Mailing Address - Street 1:2459 SE MICAH PL
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-1965
Mailing Address - Country:US
Mailing Address - Phone:541-908-5413
Mailing Address - Fax:
Practice Address - Street 1:517 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-4884
Practice Address - Country:US
Practice Address - Phone:541-257-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01156171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty