Organization
DR. JULIA MORTLOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA MORTLOCK ND, LAC (MEMBER, OWNER)
(541) 979-6467
Entity
Organization
Contact information
Practice address
16904 SE 1ST ST STE 104, VANCOUVER, WA 98684-8511
(541) 979-6467
Mailing address
7121 SW 29TH AVE, PORTLAND, OR 97219-1907
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC164766
OR
171100000X
Acupuncturist
AC60416884
WA
175F00000X
Naturopath
Primary
NT60416820
WA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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