Individual
ALEX ROBERT PISKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
130 NW MILLER AVE, GRESHAM, OR 97030-7226
(303) 260-9200
Mailing address
3175 SW WESTWOOD DR, PORTLAND, OR 97225-4256
(303) 260-9200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC152736
OR
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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