Most Relevant Information
Provider Data
| NPI Number: | 1003568965 |
| Provider Name: | EVREN ROSE JUNIPER LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 207115 |
Most Important Dates
| Enumeration Date: | 01/21/2022 |
| Last Updated: | 01/21/2022 |
Provider Practice Location
17473 HARRIET AVE
OREGON CITY
OR
970451536
Practice Location Phone/Fax
| Phone: | 5623103594 |
| Fax: |
Provider Mailing Location
17473 HARRIET AVE
OREGON CITY
OR
970451536
Provider Mailing Phone/Fax
| Phone: | 5623103594 |
| Fax: |