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NPI Code Detail

MEDICARE: KALLE SKURLA

MEDICARE:   KALLE  SKURLA
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
1171100000XAcupuncturistAC171030OR

General Provider Information

NPI Number : 1538557822
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALLE SKURLA
Provider Business Mailing Address
First Line : 1359 NE 35TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1359 NE 35TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1941
Country : US
Telephone Number : 503-389-5545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/08/2015

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Directions to “ KALLE SKURLA ” Practice Location

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