Individual
WHITNEY GREEN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7405 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 746-6405
Mailing address
7405 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 746-6095
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160489
OR
Other
Enumeration date
01/22/2013
Last updated
03/13/2025
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