MEDICARE: HEALING WAY ACUPUNCTURE

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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1861865503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING WAY ACUPUNCTURE

Provider Business Mailing Address
First Line	:	3133 NE PRESCOTT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-7167
Country	:	US
Telephone Number	:	503-282-5666
Fax Number	:	503-432-8668

Provider Business Practice Location Address
First Line	:	3133 NE PRESCOTT ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-7167
Country	:	US
Telephone Number	:	503-282-5666
Fax Number	:	503-432-8668

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARNIE FREEMAN
Credential	:	LAC
Telephone Number	:	503-282-5666

Provider Enumeration Date	:	11/03/2015
Last Update Date	:	11/03/2015

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Directions to “HEALING WAY ACUPUNCTURE ” Practice Location

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