Individual
BENJAMIN MAGGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC.O.M., L.AC.
Contact information
Practice address
4203 SE HAWTHORNE BLVD, STE A, PORTLAND, OR 97215-3160
(503) 233-4102
Mailing address
4203 SE HAWTHORNE BLVD, STE A, PORTLAND, OR 97215-3160
(503) 233-4102
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153377
OR
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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