Individual
PAUL M STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAOM LAC
Contact information
Practice address
1708 NW 25TH AVE. APT. #6, PORTLAND, OR 97210
(406) 407-0766
Mailing address
1708 NW 25TH AVE APT 6, PORTLAND, OR 97210-2435
(406) 407-0766
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
185005
OR
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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