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Organization
ALCMAG INC.
Active
Organization
ALCMAG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLE MAGBANUA L.AC. (CEO)
(503) 252-1731
Entity
Organization
Contact information
Practice address
10235 NE HOLLADAY ST, PORTLAND, OR 97220-3920
(503) 252-1731
Mailing address
10930 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3110
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00386
OR
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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