Provider Demographics
NPI:1740603125
Name:BALANCED HEART ACUPUNCTURE
Entity Type:Organization
Organization Name:BALANCED HEART ACUPUNCTURE
Other - Org Name:VICTORIA ARGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGO
Authorized Official - Suffix:
Authorized Official - Credentials:MACOM
Authorized Official - Phone:503-515-1971
Mailing Address - Street 1:310 SW 4TH AVE STE 415
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2311
Mailing Address - Country:US
Mailing Address - Phone:503-515-1971
Mailing Address - Fax:503-222-1819
Practice Address - Street 1:310 SW 4TH AVE STE 415
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2311
Practice Address - Country:US
Practice Address - Phone:503-515-1971
Practice Address - Fax:503-222-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00870171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty