Organization
BENEVOLENCE HEALING ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FORREST WILBURN L.AC (ACUPUNCTURIST)
(503) 593-5319
Entity
Organization
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
(503) 459-4221
Mailing address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
(503) 459-4221
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150650
OR
171100000X
Acupuncturist
AC153864
OR
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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