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Individual

MR. JOHN ARON BRAIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
5412 N WILLIAMS AVE, PORTLAND, OR 97217-2740
(971) 373-8378
(971) 373-8378
Mailing address
5412 N WILLIAMS AVE, PORTLAND, OR 97217-2740
(971) 373-8378
(971) 373-8912

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC152456
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
611473200
DOL FECA
CA
Enumeration date
10/06/2006
Last updated
10/18/2023
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