Provider Demographics
NPI:1881330025
Name:PALOUSE ACUPUNCTURE
Entity type:Organization
Organization Name:PALOUSE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CASS
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:360-920-2098
Mailing Address - Street 1:619 S WASHINGTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-3063
Mailing Address - Country:US
Mailing Address - Phone:360-920-2098
Mailing Address - Fax:208-882-6866
Practice Address - Street 1:619 S WASHINGTON ST STE 202
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-3063
Practice Address - Country:US
Practice Address - Phone:360-920-2098
Practice Address - Fax:208-882-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center