NPI 1275947475

Lagniappe Acupuncture LLC

Organisation Health Maintenance Organization Camas, WA

Practice location

Address: 839 NW Sacajawea Pl, Camas, WA 98607-4104
Phone: (504) 451-1666
Mailing address: 8040 NE Sandy Blvd STE 100a, Portland, OR 97213-7100

Authorised official

Name: Theresa Atchley
Title: Owner
Phone: (504) 451-1666

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence AC165105 (OR)

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Registry record

NPI: 1275947475
Entity type: Organization
NPI issued: 16 Jun 2014
Record last updated: 16 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.