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Organization

DR. KACY BORBA, LLC

Active
Other names
Quercus Natural Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KACY L BORBA SPANN ND, LAC (OWNER)
(971) 258-1853
Entity
Organization

Contact information

Practice address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(971) 258-1853
Mailing address
3942 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5242
(971) 258-1853

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
167588
OR
174400000X
Specialist
2022
OR
175F00000X
Naturopath
Primary
2022
OR

Other

Enumeration date
02/02/2018
Last updated
01/28/2022
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