Individual
RICHARD WILLIAM DETROYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
200 N.E. 20TH AVENUE, SUITE 140, PORTLAND, OR 97232
(503) 484-3513
Mailing address
2568 NE 32ND CT, PORTLAND, OR 97212-3620
(503) 288-2878
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 00389
OR
Other
Enumeration date
12/21/2006
Last updated
03/23/2012
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