Individual
MR. CLINTON RANDALL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIP. AC., L.AC.
Contact information
Practice address
9900 SW WILSHIRE, 190-C, PORTLAND, OR 97225
(503) 297-3825
(503) 297-3827
Mailing address
12471 SE LINWOOD AVE, E4, MILWAUKIE, OR 97222-2439
(503) 659-1141
(503) 297-3827
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00512
OR
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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