Individual
DR. SAMANTHA L BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND LAC
Contact information
Practice address
6610 SW CAPITOL HWY, PORTLAND, OR 97239
(503) 977-0500
Mailing address
6610 SW CAPITOL HWY, PORTLAND, OR 97239
(503) 977-0500
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00586
OR
175F00000X
Naturopath
Primary
0880
OR
Other
Enumeration date
11/21/2006
Last updated
10/22/2007
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