Provider Demographics
NPI:1851758684
Name:ARASHIKAGE INDUSTRIES, INC
Entity Type:Organization
Organization Name:ARASHIKAGE INDUSTRIES, INC
Other - Org Name:STONE GUARDIAN ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LISSER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-830-8880
Mailing Address - Street 1:910 CAPITOL ST NE
Mailing Address - Street 2:BUILDING B
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1201
Mailing Address - Country:US
Mailing Address - Phone:503-851-5518
Mailing Address - Fax:
Practice Address - Street 1:910 CAPITOL ST NE
Practice Address - Street 2:BUILDING B
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1201
Practice Address - Country:US
Practice Address - Phone:503-851-5518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC169989171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty