Individual
RUBY SAMANTHA HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
914 SW 11TH AVE, PORTLAND, OR 97205-2001
(818) 645-7413
Mailing address
3607 NE 13TH AVE, PORTLAND, OR 97212-2256
(818) 645-7413
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC185656
OR
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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