Individual
MRS. ALYSIA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3322 SE TAYLOR ST, PORTLAND, OR 97214-4273
(503) 473-2914
(503) 239-8042
Mailing address
3322 SE TAYLOR ST, PORTLAND, OR 97214-4273
(503) 473-2914
(503) 239-8042
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00984
OR
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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