Healthcare Provider Details

I. General information

NPI: 1124939483
Provider Name (Legal Business Name): HARMONY ACUPUNCTURE AND HERBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21730 WILLAMETTE DR
WEST LINN OR
97068-3257
US

IV. Provider business mailing address

21730 WILLAMETTE DR
WEST LINN OR
97068-3257
US

V. Phone/Fax

Practice location:
  • Phone: 503-722-5224
  • Fax:
Mailing address:
  • Phone: 503-722-5224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GARY WAGMAN
Title or Position: ACUPUNCTURIST, CEO
Credential: PHD, LAC
Phone: 503-880-3654