Individual
MRS. DANIELLE BOUCHER QUAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3810 SE BELMONT ST, PORTLAND, OR 97214-4330
(503) 860-5009
Mailing address
6922 SE 69TH AVE, PORTLAND, OR 97206-7342
(503) 860-5009
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01075
OR
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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