Individual
ELISSA LIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
60959 MILES CT, BEND, OR 97702-9373
(541) 385-5838
Mailing address
60959 MILES CT, BEND, OR 97702-9373
(541) 385-5838
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00453
OR
Other
Enumeration date
05/20/2007
Last updated
03/27/2023
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