Organization
STUMPTOWN ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SASAO-RUEF LAC (OWNER/PROVIDER)
(971) 417-6205
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 110, PORTLAND, OR 97214-2400
(971) 417-6205
Mailing address
1110 SE ALDER ST STE 110, PORTLAND, OR 97214-2400
(971) 417-6205
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/21/2025
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