Provider Demographics
NPI:1770221210
Name:GINGER PEAR ACUPUNCTURE AND MASSAGE
Entity Type:Organization
Organization Name:GINGER PEAR ACUPUNCTURE AND MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CYPHERS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMT
Authorized Official - Phone:503-348-2265
Mailing Address - Street 1:2020 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2778
Mailing Address - Country:US
Mailing Address - Phone:503-348-2265
Mailing Address - Fax:
Practice Address - Street 1:18807 WILLAMETTE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-1711
Practice Address - Country:US
Practice Address - Phone:503-348-2265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty