Individual
ERIKA MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1731 NW HARTWELL PL, PORTLAND, OR 97229-5080
(503) 995-0944
Mailing address
1731 NW HARTWELL PL, PORTLAND, OR 97229-5080
(503) 995-0944
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC158676
OR
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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