Individual
AMY ELIZABETH CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2920 SW DOLPH CT STE 2, PORTLAND, OR 97219-3962
(503) 244-0500
Mailing address
7316 SW 29TH AVE, PORTLAND, OR 97219-2410
(503) 962-9871
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
OR
Other
Enumeration date
11/10/2008
Last updated
11/17/2008
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