Individual
CATHERINE IVANA TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6925 SE MALLORY, PORTLAND, OR 97232
(503) 502-3815
Mailing address
1330 SE 39TH, PORTLAND, OR 97232
(503) 502-3815
(503) 232-7751
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00369
—
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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