Individual
MALIA SUSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, MACOM, DIPL.OM
Contact information
Practice address
1001 SE WATER AVE, STE. 210, PORTLAND, OR 97214-2147
(503) 517-9987
(503) 517-9903
Mailing address
1001 SE WATER AVE, STE. 210, PORTLAND, OR 97214-2147
(503) 517-9987
(503) 517-9903
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01034
OR
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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