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Organization
PDX ACUPUNCTURE INC.
Active
Organization
PDX ACUPUNCTURE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA DILKES L.AC. (OWNER)
(503) 943-9331
Entity
Organization
Contact information
Practice address
510 SW 3RD AVE STE 201, PORTLAND, OR 97204-2507
(503) 943-9331
(503) 445-9861
Mailing address
510 SW 3RD AVE STE 201, PORTLAND, OR 97204
(503) 943-9331
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01068
OR
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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