Individual
GINA MARIE CAVELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L AC
Contact information
Practice address
7503 SE ELLIS ST, PORTLAND, OR 97206-5103
(503) 832-8557
Mailing address
7503 SE ELLIS ST, PORTLAND, OR 97206-5103
(503) 832-8557
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC219692
OR
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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