Individual
JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
7427 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5838
(971) 227-5033
Mailing address
7427 SE WOODSTOCK BLVD, PORTLAND, OR 97206-5838
(971) 227-5033
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC152547
OR
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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