Individual
RENEE MENDONCA SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3531 NE 15TH AVE, PORTLAND, OR 97212-2377
(503) 866-0913
Mailing address
4200 NW NORTH RD, PORTLAND, OR 97229-2593
(503) 866-0913
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC197236
OR
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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