Individual
REGAN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2705 E BURNSIDE ST STE 102, PORTLAND, OR 97214
(541) 350-9437
Mailing address
8006 N WABASH AVE, PORTLAND, OR 97217-6040
(541) 350-9437
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC184718
OR
Other
Enumeration date
05/20/2016
Last updated
03/29/2023
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