Organization
PORTLAND TRADITIONAL ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AJA NJO LAC (OWNER)
(503) 384-9104
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR, STE 148, PORTLAND, OR 97221-2411
(503) 384-9104
(503) 391-7422
Mailing address
5319 SW WESTGATE DR, STE 148, PORTLAND, OR 97221-2411
(503) 384-9104
(503) 391-7422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01105
OR
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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