Individual
MS. COLLEEN R. BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Mailing address
3073 SE PINE ST, PORTLAND, OR 97214-1957
(503) 939-1971
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01231
OR
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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