Provider Demographics
NPI:1932273315
Name:QUALE, KAMALA (MSOM, LAC)
Entity Type:Individual
Prefix:
First Name:KAMALA
Middle Name:
Last Name:QUALE
Suffix:
Gender:F
Credentials:MSOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 LORANE HWY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2322
Mailing Address - Country:US
Mailing Address - Phone:541-345-2220
Mailing Address - Fax:541-345-2278
Practice Address - Street 1:966 LORANE HWY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2322
Practice Address - Country:US
Practice Address - Phone:541-345-2220
Practice Address - Fax:541-345-2278
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00399171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist