Provider Demographics
NPI:1306371232
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:
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
Mailing Address - Street 2:UNIT 21
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2878
Mailing Address - Country:US
Mailing Address - Phone:971-263-0747
Mailing Address - Fax:
Practice Address - Street 1:875 WASHINGTON ST
Practice Address - Street 2:UNIT 21
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2878
Practice Address - Country:US
Practice Address - Phone:971-263-0747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC179689171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty