Healthcare Provider Details

I. General information

NPI: 1255195780
Provider Name (Legal Business Name): OKU HEALTH. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12615 NE HALSEY ST
PORTLAND OR
97230-1930
US

IV. Provider business mailing address

12615 NE HALSEY ST
PORTLAND OR
97230-1930
US

V. Phone/Fax

Practice location:
  • Phone: 971-377-1717
  • Fax: 971-377-1730
Mailing address:
  • Phone: 971-377-1717
  • Fax: 971-377-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SZE KAI PAAU
Title or Position: OWNER
Credential: DSOM
Phone: 971-377-1717