Individual
MR. MICHAEL ANTOSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4531 SE BELMONT ST, SUITE #305, PORTLAND, OR 97215-1675
(503) 490-1916
Mailing address
4425 SE SALMON ST, PORTLAND, OR 97215-2446
(503) 490-1916
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC164963
OR
Other
Enumeration date
09/13/2013
Last updated
06/17/2014
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