Individual
JULIE HAWKINS KOROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7925 SE STARK ST, PORTLAND, OR 97215-2341
(503) 701-3042
Mailing address
3725 NE 72ND AVE, PORTLAND, OR 97213-5707
(503) 701-3042
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
161400
OR
Other
Enumeration date
04/25/2013
Last updated
01/12/2015
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