Provider Demographics
NPI:1487824033
Name:ADVANCED HEALING INC
Entity Type:Organization
Organization Name:ADVANCED HEALING INC
Other - Org Name:FRANK GEMMATO LAC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GEMMATO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-659-8900
Mailing Address - Street 1:10330 SE 32ND AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:503-659-8900
Mailing Address - Fax:503-659-8906
Practice Address - Street 1:10330 SE 32ND AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222
Practice Address - Country:US
Practice Address - Phone:503-659-8900
Practice Address - Fax:503-659-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00060171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty