Provider Demographics
NPI:1649712092
Name:GOLDEN HEALTH,LLC
Entity type:Organization
Organization Name:GOLDEN HEALTH,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUPING
Authorized Official - Middle Name:
Authorized Official - Last Name:QIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:503-323-0453
Mailing Address - Street 1:2274 NW RALEIGH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2766
Mailing Address - Country:US
Mailing Address - Phone:503-323-0453
Mailing Address - Fax:503-323-0452
Practice Address - Street 1:2274 NW RALEIGH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2766
Practice Address - Country:US
Practice Address - Phone:503-323-0453
Practice Address - Fax:503-323-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00790171100000X
ORAC00809171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty