Provider Demographics
NPI:1285173302
Name:LITTLEST BIRD, LLC
Entity type:Organization
Organization Name:LITTLEST BIRD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KALI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-600-6252
Mailing Address - Street 1:3225 WILLAMETTE ST
Mailing Address - Street 2:STE 3
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3309
Mailing Address - Country:US
Mailing Address - Phone:541-600-6252
Mailing Address - Fax:
Practice Address - Street 1:1800 RIVERVIEW ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-2115
Practice Address - Country:US
Practice Address - Phone:541-600-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC172060171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty