Individual
KATHERINE KUALAAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MACOM
Contact information
Practice address
1308 NW 20TH AVE STE 10, PORTLAND, OR 97209-1607
(971) 317-8834
Mailing address
1308 NW 20TH AVE STE 10, PORTLAND, OR 97209-1607
(971) 317-8834
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC190006
OR
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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