Mark S. Abelle, DIPL.AC., L.AC.

Individual provider Active NPI Acupuncturist · Ashland, OR

NPI 1104908672 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104908672
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC00125 (OR)
Practice address
581 E Main St
Ashland, OR 97520-2113
Phone
(541) 488-5719
Fax
(541) 842-6150
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC00125ORMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00125 OR Yes

Addresses

Primary practice location

581 E Main St
Ashland, OR 97520-2113

Mailing address

581 E Main St
Ashland, OR 97520-2113
Phone (541) 488-5719

Other providers in Ashland, OR

All providers in Ashland, OR · Acupuncturist in Oregon

Sources for this page

Verify at the official NPI Registry.