Individual
ADALISSETE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10001 SE SUNNYSIDE RD, #204, CLACKAMAS, OR 97015-5746
(503) 908-0881
Mailing address
6442 SW 46TH PL, PORTLAND, OR 97221-2806
(971) 322-8136
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC155013
OR
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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