Individual
MS. JOANNA MARGARET DEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAO
Contact information
Practice address
2143 NE BROADWAY, SUITE 107, PORTLAND, OR 97232-1786
(503) 750-1333
Mailing address
3133 NE KNOTT ST, PORTLAND, OR 97212-3635
(503) 750-1333
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00593
OR
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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