Organization
DEBORAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WILEY (OWNER)
(503) 891-8569
Entity
Organization
Contact information
Practice address
5517 N COMMERCIAL AVE, PORTLAND, OR 97217-2339
(503) 891-8569
Mailing address
5517 N COMMERCIAL AVE, PORTLAND, OR 97217-2339
(503) 891-8569
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00879
OR
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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