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Organization
PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINIC,LLC
Active
Organization
PACIFIC NORTHWEST ACUPUNCTURE&HERBAL CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNA DUBOVA L.AC. (LICENSED ACUPUNCTURIST)
(503) 684-9717
Entity
Organization
Contact information
Practice address
6655 SW HAMPTON ST, SUITE100, PORTLAND, OR 97223-8300
(503) 684-9717
(503) 684-6038
Mailing address
6655 SW HAMPTON ST, SUITE100, PORTLAND, OR 97223-8300
(503) 684-9717
(503) 684-6038
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00597
OR
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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