Individual
JANET HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3939 NE MARTIN LUTHER KING JR BLVD, SUITE 203, PORTLAND, OR 97212-1150
(503) 504-2416
Mailing address
3004 NE 22ND AVE, PORTLAND, OR 97212-3450
(503) 287-4872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00321
OR
Other
Enumeration date
06/13/2007
Last updated
12/22/2008
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