Individual
ANGELA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1226 N HIGHWAY 99W, DUNDEE, OR 97115-9748
(503) 554-6875
Mailing address
PO BOX 1425, MCMINNVILLE, OR 97128-1425
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160991
OR
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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