Organization
SELENIA ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI DE JONG (ACUPUNCTURIST)
(971) 242-9620
Entity
Organization
Contact information
Practice address
5432 N MARYLAND AVE, PORTLAND, OR 97217-4548
(971) 242-9620
(971) 279-5997
Mailing address
5432 N MARYLAND AVE, PORTLAND, OR 97217-4548
(971) 242-9620
(971) 279-5997
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
154420
OR
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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