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Individual

TANYA LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DAOM, LAC

Contact information

Practice address
15661 SE 82ND DRIVE, CLACKAMAS, OR 97015
(503) 343-9851
(503) 376-6036
Mailing address
15661 SE 82ND DRIVE, CLACKAMAS, OR 97015
(503) 343-9851
(503) 376-6036

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC171115
OR

Other

Enumeration date
03/02/2015
Last updated
10/15/2019
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