Individual
AMANDA LYN BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
12778 SE STARK ST UNIT 125, PORTLAND, OR 97233-1539
(503) 317-3113
Mailing address
12778 SE STARK ST UNIT 125, PORTLAND, OR 97233-1539
(503) 317-3113
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC211822
OR
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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