Individual
SHENG FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 SE 52ND AVE, PORTLAND, OR 97215-1128
(503) 928-0705
Mailing address
36 SE 52ND AVE, PORTLAND, OR 97215-1128
(503) 928-0705
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC01107
ACUPUNCTURE
OR
Enumeration date
01/31/2019
Last updated
01/31/2019
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