Provider Demographics
NPI:1457949919
Name:BALANCE POINT ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:BALANCE POINT ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ONDRIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLUB
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MACOM, LAC
Authorized Official - Phone:541-714-3200
Mailing Address - Street 1:2005 NW GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-4366
Mailing Address - Country:US
Mailing Address - Phone:541-714-3200
Mailing Address - Fax:541-638-3275
Practice Address - Street 1:2005 NW GRANT AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4366
Practice Address - Country:US
Practice Address - Phone:541-714-3200
Practice Address - Fax:541-638-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty