Individual
ANA AZIZKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2274 NW RALEIGH ST, SUITE 3, PORTLAND, OR 97210-2766
(503) 323-0453
Mailing address
2274 NW RALEIGH ST, SUITE 3, PORTLAND, OR 97210
(503) 323-0453
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01294
OR
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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