Individual
TARA KAY MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2810 NE EVERETT ST, PORTLAND, OR 97232-3247
(503) 238-8089
Mailing address
5535 N DETROIT AVE, PORTLAND, OR 97217-4428
(503) 997-7292
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01024
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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