NPI 1356692115

Antara Acupuncture and Herbal Clinic LLC

Organisation Acupuncturist Gresham, OR

Practice location

Address: 130 NW Miller Ave, Gresham, OR 97030-7226
Phone: (503) 665-2344
Fax: (503) 665-2337

Authorised official

Name: Katelyn Decker
Title: Owner/Licensed Acupuncturist
Phone: (971) 235-1171

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 150593 (OR)

Other Acupuncturist providers in Oregon →

Registry record

NPI: 1356692115
Entity type: Organization
NPI issued: 19 Sep 2012
Record last updated: 19 Sep 2012

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.