Individual
RICHARD BRAD MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2343 SE 44TH AVE, PORTLAND, OR 97215-3721
(503) 997-7181
(503) 239-8137
Mailing address
2343 SE 44TH AVE, PORTLAND, OR 97215-3721
(503) 997-7181
(503) 239-8137
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00850
OR
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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