Individual
KIMBERLY KATE MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
3769 SE MILWAUKIE AVE, PORTLAND, OR 97202-3804
(503) 724-2606
Mailing address
9595 N LOMBARD ST, PORTLAND, OR 97203-2109
(503) 724-2606
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01042
OR
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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