Individual
JAMES BRADLEY AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., M.AC.
Contact information
Practice address
1308 NW 20TH AVE, SUITE 8, PORTLAND, OR 97209-1607
(503) 956-1688
Mailing address
1308 NW 20TH AVE, SUITE 8, PORTLAND, OR 97209-1607
(503) 956-1688
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01223
OR
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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