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NPI Code Detail

MEDICARE: MEGAN ELLEN BURNS L.AC.

MEDICARE: MEGAN ELLEN BURNS L.AC.
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
1171100000XAcupuncturist60836118WA

General Provider Information

NPI Number : 1306337647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELLEN BURNS L.AC.
Provider Business Mailing Address
First Line : 19317 SE 9TH CIR
Second Line :
City : CAMAS
State : WA
Zip : 98607-7257
Country : US
Telephone Number : 828-989-9229
Fax Number :
Provider Business Practice Location Address
First Line : 800 FRANKLIN ST STE 200
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3356
Country : US
Telephone Number : 828-989-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 05/22/2018

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Directions to “ MEGAN ELLEN BURNS L.AC.” Practice Location

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