Individual
MR. CLARENCE T HOLMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
704 COTTAGE ST NE, SALEM, OR 97301-2410
(503) 881-8361
(503) 316-5110
Mailing address
704 COTTAGE ST NE, SALEM, OR 97301-2410
(503) 881-8361
(503) 316-5110
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00569
OR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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