Organization
WHALEN ACUPUNCTURE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN WHALEN LAC (OWNER)
(208) 791-9136
Entity
Organization
Contact information
Practice address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
(503) 261-8936
Mailing address
14825 SE HARMON CT, PORTLAND, OR 97267-1722
(208) 791-9136
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC176130
OR
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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