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Organization
MALIA SUSEE, L.AC, MACOM, DIPL.OM
Active
Organization
MALIA SUSEE, L.AC, MACOM, DIPL.OM
Active
Other names
Good Medicine Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MALIA SUSEE L.AC, MACOM, DIPL.OM (OWNER)
(503) 272-1550
Entity
Organization
Contact information
Practice address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 272-1550
(503) 234-6338
Mailing address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 272-1550
(503) 234-6338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500818178
—
OR
Enumeration date
01/06/2020
Last updated
01/06/2020
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