Organization
JO WHITSELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JO WHITSELL L.AC (OWNER)
(503) 915-4591
Entity
Organization
Contact information
Practice address
4920 SW HUMPHREY PARK CRST, PORTLAND, OR 97221-2336
(503) 915-4591
Mailing address
4920 SW HUMPHREY PARK CRST, PORTLAND, OR 97221-2336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
150500
OR
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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