Individual
NANCY JEAN GROTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 226-5097
Mailing address
3404 NE 43RD AVE, PORTLAND, OR 97213-1133
(503) 228-4533
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00350
OR
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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