Individual
MARY CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(512) 963-0348
Mailing address
11201 OAK VIEW DR, AUSTIN, TX 78759
(512) 963-0348
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01121
TX
171100000X
Acupuncturist
Primary
AC152969
OR
Other
Enumeration date
05/27/2009
Last updated
01/20/2011
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