Individual
LORI KRISTEN MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
KWAN YIN HEALING ARTS CENTER EAST INC, 3115 NE SANDY BLVD. SUITE 231, PORTLAND, OR 97232
(503) 701-8766
Mailing address
3123 N WILLAMETTE BLVD APT 201, PORTLAND, OR 97217-4080
(971) 808-9186
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC196256
OR
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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