Individual
SARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 NE 42ND AVE, PORTLAND, OR 97213-1527
(503) 708-1554
Mailing address
1716 NE 42ND AVE, PORTLAND, OR 97213-1527
(503) 708-1554
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC171571
OR
Other
Enumeration date
04/08/2015
Last updated
03/17/2018
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