Individual
KECIA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(541) 604-8087
Mailing address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(541) 604-8087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
05/06/2021
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