Individual
CONNIE JAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4531 SE BELMONT ST STE 203, PORTLAND, OR 97215-1675
(503) 236-9609
(503) 236-2906
Mailing address
4531 SE BELMONT ST STE 203, PORTLAND, OR 97215-1675
(503) 236-9609
(503) 236-2906
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC164280
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689110
—
OR
Enumeration date
01/30/2014
Last updated
07/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us