Organization
MAUREEN BECKER ND LAC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN LEAH BECKER ND LAC PC (PRESIDENT)
(503) 736-9900
Entity
Organization
Contact information
Practice address
5013 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3255
(503) 736-9900
Mailing address
5013 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3255
(503) 736-9900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00137
OR
175F00000X
Naturopath
Primary
0505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119177 OR
—
OR
Enumeration date
04/04/2008
Last updated
04/04/2008
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