Individual
OLIVER DYLAN LEONETTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L AC
Contact information
Practice address
3531 NE 15TH AVE, SUITE A, PORTLAND, OR 97212
(503) 284-6996
(503) 459-4253
Mailing address
3531 NE 15TH AVE, SUITE A, PORTLAND, OR 97212
(503) 284-6996
(503) 459-4253
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AE00844
OR
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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