Individual
DAVID FORREST WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 593-5319
(503) 459-4221
Mailing address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 593-5319
(503) 459-4221
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153864
OR
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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