Individual
MS. PAMELA ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(503) 285-6227
Mailing address
1268 N WATTS ST, PORTLAND, OR 97217-6604
(503) 860-0820
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161389
OR
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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