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Organization
METTA RIVER LLC
Active
Organization
METTA RIVER LLC
Active
Other names
Metta River LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN P KINSELLA LAC (OWNER)
(503) 234-0325
Entity
Organization
Contact information
Practice address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(503) 234-0325
Mailing address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(503) 234-0325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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