Individual
ABBY WOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6913 SE FOSTER RD, PORTLAND, OR 97206-4547
(503) 235-7653
Mailing address
1619 NE 81ST AVE, PORTLAND, OR 97213-6663
(714) 306-1610
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC213751
OR
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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