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NPI Code Detail

MEDICARE: KINE FISCHLER ACUPUNCTURE & HERBS

MEDICARE: KINE FISCHLER ACUPUNCTURE & HERBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC01259OR

General Provider Information

NPI Number : 1740609692
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINE FISCHLER ACUPUNCTURE & HERBS
Provider Business Mailing Address
First Line : 1607 NE 16TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1413
Country : US
Telephone Number : 503-281-0030
Fax Number :
Provider Business Practice Location Address
First Line : 2714 NE DUNCKLEY ST
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1644
Country : US
Telephone Number : 503-281-0030
Fax Number :
Authorized Official
Title or Position : OWNER AND LICENSED ACUPUNCTURIST
Name : KINE FISCHLER
Credential : LAC
Telephone Number : 503-281-0030
Provider Enumeration Date : 04/08/2014
Last Update Date : 04/08/2014

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Directions to “KINE FISCHLER ACUPUNCTURE & HERBS ” Practice Location

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