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NPI Code Detail

MEDICARE: MICHELLE GREISSINGER LAC

MEDICARE:   MICHELLE  GREISSINGER  LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC150444OR

General Provider Information

NPI Number : 1306274287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GREISSINGER LAC
Provider Business Mailing Address
First Line : 16004 SW TUALATIN SHERWOOD RD # 101
Second Line :
City : SHERWOOD
State : OR
Zip : 97140-8521
Country : US
Telephone Number : 503-575-0593
Fax Number : 503-925-8114
Provider Business Practice Location Address
First Line : 7175 SW BEVELAND RD STE 105
Second Line :
City : TIGARD
State : OR
Zip : 97223-8665
Country : US
Telephone Number : 503-575-0593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2013
Last Update Date : 01/29/2026

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Directions to “ MICHELLE GREISSINGER LAC” Practice Location

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