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Individual

ANTON WITTINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC., LMT

Contact information

Practice address
8040 NE SANDY BLVD, SUITE 100A, PORTLAND, OR 97213-7100
(503) 841-6079
Mailing address
8040 NE SANDY BLVD, SUITE 100A, PORTLAND, OR 97213-7100
(503) 841-6079

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC165016
OR
225700000X
Massage Therapist
13040
OR

Other

Enumeration date
05/31/2013
Last updated
08/12/2014
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