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Organization
MARYA DEDA INC
Active
Organization
MARYA DEDA INC
Active
Other names
Acupuncture on Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA E. DEDA BARAKAT (LAC, LMT)
(503) 282-2268
Entity
Organization
Contact information
Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Mailing address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00978
OR
Other
Enumeration date
07/14/2009
Last updated
08/18/2011
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