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Individual

DEBRA PENLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC., DIPL O.M.

Contact information

Practice address
17488 MARDEE AVE, LAKE OSWEGO, OR 97035-5471
(303) 883-9663
Mailing address
17488 MARDEE AVE, LAKE OSWEGO, OR 97035-5471
(303) 883-9663

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
169824
OR

Other

Enumeration date
03/16/2015
Last updated
03/16/2015
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