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Organization

KIMBERLY DORNAN ACUPUNCTURE, LLC

Active
Other names
Kimberly Dornan, L.Ac.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY E DORNAN L.AC. (SOLE MEMBER)
(503) 771-7441
Entity
Organization

Contact information

Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 771-7441
(503) 287-9899
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 771-7441
(503) 287-9899

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00534
OR

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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