Individual
DIANE L BEHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
555 SW OAK ST, WESTSIDE ATHLETIC CLUB, PORTLAND, OR 97204-1752
(503) 208-4325
Mailing address
5714 NE 17TH AVE, PORTLAND, OR 97211-4957
(503) 208-4325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01246
OR
Other
Enumeration date
09/08/2009
Last updated
09/16/2011
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