Individual
MARI ANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NW 23RD AVE, PORTLAND, OR 97210-2617
(971) 219-9107
Mailing address
2384 NW QUIMBY ST, PORTLAND, OR 97210-2626
(971) 219-9107
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
259
OR
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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