Individual
DAVID THOREAU TIRCUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
521 SW 11TH AVE, SUITE 306, PORTLAND, OR 97205-2634
(503) 796-5895
Mailing address
1420 NW LOVEJOY ST, #505, PORTLAND, OR 97209-2734
(503) 313-3935
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00664
OR
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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