# REBECCA M HERRIN LAC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134607732
- **Authorized official:** REBECCA MARIE HERRIN LAC (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (503) 492-2600

## Contact information

- **Practice address:** 22400 SE STARK ST STE 105, GRESHAM, OR 97030-2656
- **Practice address phone:** (971) 409-9462
- **Mailing address:** 22400 SE STARK ST STE 105, GRESHAM, OR 97030-2656
- **Mailing address phone:** (971) 409-9462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00691 | OR | Yes |

## Other

- **Enumeration date:** 08/06/2018
- **Last updated:** 08/06/2018