Individual
BETH YOHALEM-ILSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4631 N ALBINA AVE, PORTLAND, OR 97217-3011
(503) 282-5358
(503) 735-3777
Mailing address
4631 N ALBINA AVE, PORTLAND, OR 97217-3011
(503) 282-5358
(503) 735-3777
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00668
OR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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