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Organization
KRISHNA AVALON ACUPUNCTURE, INC
Active
Organization
KRISHNA AVALON ACUPUNCTURE, INC
Active
Other names
Krishna Bader, L.AC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA AVALON L.AC (OWNER)
(503) 522-2872
Entity
Organization
Contact information
Practice address
4605 NE FREMONT ST, STE 103, PORTLAND, OR 97213
(503) 522-2872
(844) 252-8069
Mailing address
4816 NE GOING ST., PORTLAND, OR 97218
(503) 522-2872
(844) 252-8069
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01299
OR
Other
Enumeration date
08/22/2013
Last updated
01/09/2017
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