Organization
BLUE TURTLE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGENIA GAIL BENTON LAC (OWNER)
(503) 991-8950
Entity
Organization
Contact information
Practice address
2738 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 991-8950
(888) 972-7503
Mailing address
4838 N PRINCETON ST, PORTLAND, OR 97203-4461
(503) 991-8950
(888) 972-7503
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC00674
OR
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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