Individual
MR. STEVEN MICHAEL BERLETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2332 NW IRVING ST, PORTLAND, OR 97210-3225
(503) 222-1865
Mailing address
922 SE 40TH AVE, PORTLAND, OR 97214-4401
(503) 381-1093
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00953
OR
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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