Individual
ERIN ANNE GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ERIN GAGNON
Contact information
Practice address
980 FOREST AVE STE 204, PORTLAND, ME 04103-3336
(207) 831-3703
Mailing address
980 FOREST AVE STE 204, PORTLAND, ME 04103-3336
(207) 831-3703
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC351
ME
225X00000X
Occupational Therapist
OT1068
ME
Other
Enumeration date
09/09/2008
Last updated
01/24/2023
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