Organization
SUSAN SACCOMANNO ND LAC INC
Active
Parent organization
SUSAN SACCOMANNO ND LAC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN SACCOMANNO ND LAC
Authorized official
DR. SUSAN SACCOMANNO ND (NATUROPATH)
(503) 799-4663
Entity
Organization
Contact information
Practice address
833 SW 11TH AVE, SUITE #1018, PORTLAND, OR 97205-2125
(503) 224-2525
Mailing address
3909 SE 48TH AVE, PORTLAND, OR 97206-3231
(503) 224-2525
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01026
OR
175F00000X
Naturopath
Primary
1527
OR
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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