Individual
MRS. JULIA S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
25 SE 75TH AVE, PORTLAND, OR 97215-1451
(503) 309-2616
Mailing address
335 SE 75TH AVE, PORTLAND, OR 97215-1457
(503) 309-2616
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150583
OR
Other
Enumeration date
01/14/2010
Last updated
01/15/2010
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