Individual
CHARLES CHRISTOPHER SELHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LAC, EAMP
Contact information
Practice address
513 N MORRISON RD, VANCOUVER, WA 98664-1432
(510) 499-7115
Mailing address
100 NE IVY ST, PORTLAND, OR 97212-2038
(510) 499-7115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
378908
CA
171100000X
Acupuncturist
Primary
AC60709575
WA
Other
Enumeration date
10/11/2016
Last updated
07/21/2022
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