Individual
MS. JULIE MARIE GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5425 SE RAYMOND ST., PORTLAND, OR 97206-2502
(971) 322-8575
Mailing address
5425 SE RAYMOND ST, PORTLAND, OR 97206-4853
(971) 322-8575
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
PENDING
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
NCCAOM CERTIFIED ACUPUNCTURIST
—
Enumeration date
02/04/2009
Last updated
02/28/2014
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