Individual
MR. COLE THOMPSON ESCOBAR MAGBANUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
10235 NE HOLLADAY ST, PORTLAND, OR 97220-3920
(503) 252-1731
Mailing address
10930 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3110
(503) 252-1731
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00386
OR
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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