Individual
KRISTIN VERA BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6011 SE GLADSTONE ST, PORTLAND, OR 97206-3752
(310) 773-6649
Mailing address
6011 SE GLADSTONE ST, PORTLAND, OR 97206-3752
(310) 773-6649
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
156229
OR
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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