Individual
MR. BRYAN MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1304 SE 44TH AVE, PORTLAND, OR 97215-2416
(503) 726-6349
Mailing address
1304 SE 44TH AVE, PORTLAND, OR 97215-2416
(503) 726-6349
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
172239
OR
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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