Individual
MR. BENJAMIN LEO MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 928-6728
Mailing address
333 S STATE ST, SUITE W, LAKE OSWEGO, OR 97034-3932
(503) 863-0466
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01263
OR
Other
Enumeration date
08/17/2009
Last updated
05/27/2019
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