Provider Demographics
NPI:1922161611
Name:MORET, JANET K (LAC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:K
Last Name:MORET
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:K
Other - Last Name:LEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:311 SE H ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-3040
Mailing Address - Country:US
Mailing Address - Phone:541-479-2599
Mailing Address - Fax:541-474-7777
Practice Address - Street 1:311 SE H ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-3040
Practice Address - Country:US
Practice Address - Phone:541-479-2599
Practice Address - Fax:541-474-7777
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00503171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist