Individual
JEFFREY F LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MACOM, LAC
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
430 SE 32ND AVE, HILLSBORO, OR 97123-7008
(530) 966-7752
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC185687
OR
Other
Enumeration date
01/11/2018
Last updated
03/17/2018
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