Individual
SHELBY H GODLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC185019
OR
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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