Healthcare Provider Details

I. General information

NPI: 1477468650
Provider Name (Legal Business Name): IN GOOD HANDS ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 N MAIN ST
MOUNT ANGEL OR
97362-9518
US

IV. Provider business mailing address

118 WESTFIELD ST
SILVERTON OR
97381-1949
US

V. Phone/Fax

Practice location:
  • Phone: 503-855-0708
  • Fax: 503-845-9350
Mailing address:
  • Phone: 506-855-0708
  • Fax: 503-845-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MS. HAEKYUNG DIXON KIM
Title or Position: PRACTITIONER
Credential: LAC
Phone: 503-855-0708