Great River LLC
Organization Active NPI Acupuncturist · Stevenson, WA
NPI 1043067580 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1043067580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- Legal business name
- GREAT RIVER LLC
- Practice address
- 40 SW Cascade Ave # 40F
Stevenson, WA 98648-6284 - Phone
- (509) 416-6191
- NPI assigned
- May 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Katherine Kampmann, L.AC.
- Title
- Owner
- Phone
- (509) 416-6191
Practitioners 1
-
Katherine Kampmann, L. AC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | Yes | ||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
40 SW Cascade Ave # 40F
Stevenson, WA 98648-6284
Mailing address
PO Box 1351
Stevenson, WA 98648-1351
Other names
- Hey Moon Community Wellness
Other providers in Stevenson, WA
- Lucy Ann Entenman
- Mitzi Beth Ferrill
- Bernice Freed Bravo
- April Jane Gilbert
- Bonnie Kay Gillispie
- Karin Guertin
- Melinda Hartley
- Ellie Helton
- Rebekah L Hodges
- Jack D Clifton, DDS, PS
All providers in Stevenson, WA · Acupuncturist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.