# ACCESS ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1477710721
- **Authorized official:** ANDREA JACKSON LAC (OWNER)
- **Authorized official phone:** (503) 545-2393

## Contact information

- **Practice address:** 119 NE 3RD ST, GRESHAM, OR 97030-7403
- **Practice address phone:** (503) 545-2393
- **Mailing address:** 2005 SE 159TH PL, VANCOUVER, WA 98683-4406
- **Mailing address phone:** (503) 545-2393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01036 | OR | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008
