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General NPI Number Information
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NPI Number | 1518521038
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Entity Type | Organization
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Legal Business Name | TCM ACUPUNCTURE AND MASSAGE CLINIC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 14535 WESTLAKE DR STE B
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-7775
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Country | US
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Telephone | 503-347-4286
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Fax | 971-713-3940
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Provider Business Mailing Address
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Address Line | 14535 WESTLAKE DR STE B
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-7775
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Country | US
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Telephone | 503-347-4286
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Fax | 971-713-3940
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | LI HONG CHEN
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Credential | LAC.
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Telephone | 503-347-4286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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