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Individual

JAMES MILES YARDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC, LMT

Contact information

Practice address
6913 SE FOSTER RD, PORTLAND, OR 97206-4547
(503) 235-7653
Mailing address
7830 SE BOISE CT UNIT A, PORTLAND, OR 97206-3382
(303) 358-4137

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC196944
OR
225700000X
Massage Therapist
OR

Other

Enumeration date
09/27/2019
Last updated
01/07/2020
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