Individual
MEGAN JANE LEBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
811 NW 20TH AVE, SUITE 204, PORTLAND, OR 97209-1443
(971) 235-0813
Mailing address
811 NW 20TH AVE, SUITE 204, PORTLAND, OR 97209-1443
(971) 235-0813
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1111
OR
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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