Individual
CARRIE BLEIWEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3580 SW TROY ST, PORTLAND, OR 97219-1616
(503) 246-3358
Mailing address
3580 SW TROY ST, PORTLAND, OR 97219-1616
(503) 246-3358
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00526
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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