Mcculloch, Wade

Mcculloch, Wade is an sole proprietor health care provider with primary practice located at 17355 Boones Ferry Rd Ste B, Lake Oswego OR 97035-5225. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Mcculloch, Wade can be contacted via phone (503) 919-9091.

Contact Information

Primary practice address
17355 Boones Ferry Rd Ste B Lake Oswego OR 97035-5225
Phone: (503) 919-9091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 01064 Oregon

Profile Details

NPI number 1528266855
LBN Legal business name Mcculloch, Wade
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2007
Last updated Dec 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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