Provider Demographics
NPI:1437628435
Name:ACUPUNCTURE FOR NATURAL HEALTH LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE FOR NATURAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRACLE TUMI
Authorized Official - Middle Name:TUMI
Authorized Official - Last Name:SWIGART
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-939-8016
Mailing Address - Street 1:15110 BOONES FERRY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3451
Mailing Address - Country:US
Mailing Address - Phone:150-393-9801
Mailing Address - Fax:
Practice Address - Street 1:15110 BOONES FERRY RD STE 170
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3451
Practice Address - Country:US
Practice Address - Phone:503-939-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1427144955OtherNPI