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General NPI Number Information
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NPI Number | 1306668173
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Entity Type | Organization
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Legal Business Name | RECLAIMED HEALTH LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 609 NE BAKER ST STE 250
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City | MCMINNVILLE
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State | OR
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Zip | 97128-4950
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Country | US
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Telephone | 541-862-3107
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Fax | 503-213-8784
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Provider Business Mailing Address
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Address Line | 609 NE BAKER ST STE 250
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City | MCMINNVILLE
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State | OR
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Zip | 97128-4950
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Country | US
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Telephone | 541-862-3107
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Fax | 503-213-8784
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Authorized Official
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Title or Position | CEO, OWNER; PHYSICIAN
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Name | KAYLA J PRICE (FORMALLY HARROP)
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Credential | DACM, LAC
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Telephone | 541-862-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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