Individual
CITA C OUDIJK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1011 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 232-3857
Mailing address
1011 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 232-3857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
546
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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