Organization
AUDREY CZEREW, MSAOM, L.AC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY M CZEREW MSAOM (ACUPUNCTURIST)
(971) 230-8726
Entity
Organization
Contact information
Practice address
1313 SE BIDWELL ST, PORTLAND, OR 97202-6021
(971) 230-8726
Mailing address
1313 SE BIDWELL ST, PORTLAND, OR 97202-6021
(971) 230-8726
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC00995
OR
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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