Pura Vida Acupuncture
Organization Active NPI Acupuncturist · Lake Oswego, OR
NPI 1669804399 · NPPES record last updated Aug 5, 2013
Key facts
- NPI
- 1669804399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC160489 (OR)
- Legal business name
- PURA VIDA ACUPUNCTURE
- Practice address
- 3689 Carman Dr Ste 300
Lake Oswego, OR 97035-2620 - Phone
- (503) 305-5099
- NPI assigned
- Aug 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Whitney Green
- Title
- Acupuncture
- Phone
- (503) 305-5099
Practitioners 3
-
Elise Madeline Baron, LAC
-
Whitney Green Bautista, L.AC.
-
Laura Amrofell Goff, L.AC.
National Provider Directory
Locations
7405 SW Beveland Rd
Tigard, OR 97223
Phone (503) 746-6095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | AC160489 | OR | Yes |
Addresses
Primary practice location
3689 Carman Dr Ste 300
Lake Oswego, OR 97035-2620
Mailing address
3689 Carman Dr Ste 300
Lake Oswego, OR 97035-2620
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2013. 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.