Individual
ANGIE ELLIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
2348 NW LOVEJOY ST, PORTLAND, OR 97210-3022
(503) 224-7224
Mailing address
6947 N ATLANTIC AVE, PORTLAND, OR 97217-5203
(435) 655-1505
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC200523
OR
175F00000X
Naturopath
4333
OR
175F00000X
Naturopath
Primary
NT61319940
WA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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