Healthcare Provider Details

I. General information

NPI: 1477606101
Provider Name (Legal Business Name): CHERYL ANN KALSCH-LOWRANCE LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 SE 3RD AVE
HILLSBORO OR
97123-4001
US

IV. Provider business mailing address

343 SE 3RD AVE
HILLSBORO OR
97123-4001
US

V. Phone/Fax

Practice location:
  • Phone: 503-844-9355
  • Fax: 503-844-9355
Mailing address:
  • Phone: 503-844-9355
  • Fax: 503-844-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC01023
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: