Individual
JENNIFER A CONJERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AC.O.M, , L.AC.
Contact information
Practice address
6235 E BURNSIDE ST, PORTLAND, OR 97215-1312
(503) 984-4748
Mailing address
6235 E BURNSIDE ST, PORTLAND, OR 97215-1312
(503) 984-4748
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01039
OR
Other
Enumeration date
06/14/2007
Last updated
01/22/2009
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