Organization
AASA-LISA'S ACUPUNCTURE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THORBORG (L.AC.)
(503) 515-2657
Entity
Organization
Contact information
Practice address
4850 SW SCHOLLS FERRY RD, STE 201, PORTLAND, OR 97225-1669
(503) 515-2657
Mailing address
4850 SW SCHOLLS FERRY RD, SUITE 201, PORTLAND, OR 97225-1669
(503) 515-2657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00874
OR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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