Individual
MARYA EDEN DEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Mailing address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00978
OR
Other
Enumeration date
02/10/2006
Last updated
12/17/2014
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