Individual
TRACY LYNN THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3641 SE 28TH AVE, PORTLAND, OR 97202-3077
(503) 481-6702
Mailing address
3641 SE 28TH AVE, PORTLAND, OR 97202-3077
(503) 481-6702
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00909
OR
Other
Enumeration date
05/04/2007
Last updated
05/23/2014
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