Individual
ANI MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 331-1800
(503) 331-2989
Mailing address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 331-1800
(503) 331-2989
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00542
OR
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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