Individual
MRS. KATHERINE ELLEN ANNALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
10541 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-2826
(503) 445-0953
Mailing address
1327 SE 80TH AVE, PORTLAND, OR 97215-3014
(503) 544-4336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160265
OR
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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