Individual
JASE EVAERET BRENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT
Contact information
Practice address
4838 NE SANDY BLVD STE 200, PORTLAND, OR 97213-2090
(503) 287-1510
(503) 287-1505
Mailing address
4838 NE SANDY BLVD STE 200, PORTLAND, OR 97213-2090
(503) 287-1510
(503) 287-1505
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00486
OR
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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