SUNDARA ACUPUNCTURE LLC
Ambulatory Health at Lisa St, Beaverton, OR

License number
Oregon AC151174
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MR. PHAVIXAY SUNDARA LAC
Title: ACUPUNTURIST
Phone: (503) 382-7179
Address
Address
17175 SW Lisa St, Beaverton, OR 97006
National Provider ID: 1154661163
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUNDARA ACUPUNCTURE LLC at bizstanding.com

SUNDARA ACUPUNCTURE LLC

Beaverton, OR

Industry:
Health Practitioner's Office
Registration:
Jun 4, 2010
Addresses:
14455 SW Allen Blvd SUITE 101, Beaverton, OR 97005 (Physical)
17175 SW Lisa St, Beaverton, OR 97006 (Mailing)
State ID:
69250398
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Acupuncture, Principal:
Phavixay Sundara (Acupuncture, Principal)
Agent:
Phavixay Sundara,17175 SW Lisa St, Beaverton, OR 97006 (Physical)

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