Individual
MRS. SHANNON CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1910 SE 11TH AVE STE 200, PORTLAND, OR 97214-4707
(503) 208-6327
(503) 455-4402
Mailing address
5532 SE KNIGHT STREET, PORTLAND, OR 97206
(503) 453-3577
(503) 455-4402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
140952
OR
171100000X
Acupuncturist
Primary
AC140952
OR
Other
Enumeration date
10/05/2009
Last updated
08/04/2022
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