Individual
MS. KRISTEN DILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1614 NE ALBERTA ST, PORTLAND, OR 97211-5048
(503) 953-0933
Mailing address
3564 N MISSOURI AVE, PORTLAND, OR 97227-1167
(503) 953-0933
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 153381
OR
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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