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Individual

GARY W OSWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 747-9618
Mailing address
234 SE 43RD AVE, HILLSBORO, OR 97123-5915
(503) 747-9618

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01276
OR

Other

Enumeration date
03/10/2009
Last updated
03/10/2009
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