Individual
KENNY JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOM., LAC.
Contact information
Practice address
4525 SW 109TH AVE, BEAVERTON, OR 97005-3022
(503) 643-3835
Mailing address
4525 SW 109TH AVE, BEAVERTON, OR 97005-3022
(503) 643-3835
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150816
OR
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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