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Organization
IRIS ACUPUNCTURE CLINIC LLC
Active
Organization
IRIS ACUPUNCTURE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLIE A MCKIBBEN LAC (OWNER, LICENSED ACUPUNCTURIST)
(503) 837-6655
Entity
Organization
Contact information
Practice address
129 NE 102ND AVE STE A, PORTLAND, OR 97220-4102
(503) 837-6655
(866) 539-5513
Mailing address
11954 NE GLISAN ST # 327, PORTLAND, OR 97220-2143
(503) 837-6655
(866) 539-5513
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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