Individual
JANA M CAPRISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1411 NW RALEIGH ST, PORTLAND, OR 97209
(503) 267-7470
Mailing address
6311 N BOWDOIN ST, PORTLAND, OR 97203-4111
(503) 267-7470
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01031
OR
Other
Enumeration date
03/20/2007
Last updated
12/09/2010
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