Organization
TARA GREGORY ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA E GREGORY LAC. (ACUPUNCTURIST)
(503) 479-5506
Entity
Organization
Contact information
Practice address
1920 NW LOVEJOY ST, PORTLAND, OR 97209-1504
(503) 479-5506
Mailing address
1920 NW LOVEJOY ST, PORTLAND, OR 97209-1504
(503) 479-5506
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160506
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666393
—
OR
Enumeration date
03/17/2014
Last updated
02/13/2015
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