Great Bear Acupuncture, LLC
Organization Active NPI Acupuncturist · Bandon, OR
NPI 1659634764 · NPPES record last updated Jun 22, 2012
Key facts
- NPI
- 1659634764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- Legal business name
- GREAT BEAR ACUPUNCTURE, LLC
- Practice address
- 190 2ND St SE
Bandon, OR 97411-9660 - Phone
- (541) 347-2770
- NPI assigned
- Jun 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Dana L Lavoie, LAC
- Title
- Managing Member
- Phone
- (541) 347-2770
National Provider Directory
Locations
190 2nd St SE
Bandon, OR 97411
Phone (541) 347-2770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | Yes |
Addresses
Primary practice location
190 2ND St SE
Bandon, OR 97411-9660
Mailing address
PO Box 2004
Bandon, OR 97411-2004
Phone (541) 347-2770
Other providers in Bandon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2012. 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.