Individual
CHRISTIE LYNN WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
6504 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 929-8529
Mailing address
317 NE ROBERTS AVE, GRESHAM, OR 97030-7461
(503) 669-8880
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150650
OR
Other
Enumeration date
01/26/2010
Last updated
09/03/2015
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