Provider Demographics
NPI:1700259843
Name:POKELNDIA LLC
Entity Type:Organization
Organization Name:POKELNDIA LLC
Other - Org Name:FAMILY CARE ACUPUNCTURE AND HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MICH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-868-1496
Mailing Address - Street 1:1300 JOHN ADAMS ST
Mailing Address - Street 2:STE 119
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1695
Mailing Address - Country:US
Mailing Address - Phone:503-868-1496
Mailing Address - Fax:503-994-0298
Practice Address - Street 1:1300 JOHN ADAMS ST
Practice Address - Street 2:STE 119
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1695
Practice Address - Country:US
Practice Address - Phone:503-868-1496
Practice Address - Fax:503-994-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC165264261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center