NPI 1396092573

Green Lotus Acupuncture, LLC

Organisation Acupuncturist Milwaukie, OR

Practice location

Address: 2100 SE Lake Rd STE 1, Milwaukie, OR 97222-7759
Phone: (503) 789-7661
Mailing address: 1208 SE Lambert St APT 1, Portland, OR 97202-6369

Authorised official

Name: Mary Jean Brinkman
Title: Owner
Phone: (503) 789-7661

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC153318 (OR)

Other Acupuncturist providers in Oregon →

Registry record

NPI: 1396092573
Entity type: Organization
NPI issued: 7 Aug 2012
Record last updated: 7 Aug 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.