Organization Name: | STILL POINT OSTEOPATHY AND MEDICAL ACUPUNCTURE, LLC |
NPI Number: | 1891165544 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA GRECO (MANAGER) |
Mailing Address: | 2955 N Highway 97 Bend |
State: | OR US |
Postal Code: | 977037559 |
Phone Number: | 5416397908 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DO155807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |