Organization
CORTEZ NATURAL MEDICINE, INC.
Active
Other names
Stillpoint Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MITSUKO ISHIMARU CORTEZ N.D., L.AC (PRESIDENT)
(971) 386-2930
Entity
Organization
Contact information
Practice address
2230 NW PETTYGOVE STREET, UNIT 130, PORTLAND, OR 97210
(971) 386-2930
Mailing address
2230 NW PETTYGOVE STREET, UNIT 130, PORTLAND, OR 97210
(971) 386-2930
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC174749
OR
225700000X
Massage Therapist
Primary
22205
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609247899
LAC
OR
01
—
1689070534
MASSAGE THERAPIST
CA
01
—
1912251059
ND, LAC
CA
Enumeration date
04/21/2016
Last updated
04/21/2016
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