Individual
LAUREN FYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4322 SE 182ND AVE, GRESHAM, OR 97030-5058
(503) 667-8988
Mailing address
4322 SE 182ND AVE, GRESHAM, OR 97030-5058
(503) 667-8988
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC213632
OR
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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