Provider Demographics
NPI:1447896360
Name:RED PINE ACUPUNCTURE
Entity type:Organization
Organization Name:RED PINE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:HADAS
Authorized Official - Last Name:WHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:971-263-0747
Mailing Address - Street 1:875 WASHINGTON ST APT 21
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2841
Mailing Address - Country:US
Mailing Address - Phone:971-263-0747
Mailing Address - Fax:888-974-2137
Practice Address - Street 1:389 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2508
Practice Address - Country:US
Practice Address - Phone:971-263-0747
Practice Address - Fax:888-974-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center