Organization
MAXXED OUT ACUPUNCTURE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY BEGDORIAN LAC (OWNER - LICENSED ACUPUNCTURIST)
(503) 975-5327
Entity
Organization
Contact information
Practice address
3912 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 975-5327
Mailing address
3912 N. MISSISSIPPI, PORTLAND, OR 97227
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC174780
OR
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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