Provider Demographics
NPI:1760838338
Name:SALEM ACUPUNCTURE AND CHINESE MEDICINE
Entity Type:Organization
Organization Name:SALEM ACUPUNCTURE AND CHINESE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YIBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-585-9329
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97308-0688
Mailing Address - Country:US
Mailing Address - Phone:503-585-9239
Mailing Address - Fax:503-585-9377
Practice Address - Street 1:3709 RIVERDALE RD S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-9769
Practice Address - Country:US
Practice Address - Phone:503-585-9239
Practice Address - Fax:503-585-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty