Organization
ACUPUNCTURE BY JENN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDSON LAC (OWNER)
(503) 665-1999
Entity
Organization
Contact information
Practice address
109 N MAIN AVE, SUITE 201, GRESHAM, OR 97030-7200
(503) 665-1999
Mailing address
109 N MAIN AVE, SUITE 201, GRESHAM, OR 97030-7200
(503) 665-1999
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
179910
OR
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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