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Organization
MICHELLE REYNOLDS
Active
Organization
MICHELLE REYNOLDS
Active
Other names
Zen Space
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REYNOLDS LAC (ACUPUNCTURIST)
(503) 281-0681
Entity
Organization
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00513
OR
Other
Enumeration date
05/21/2008
Last updated
03/07/2017
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