Individual
COLLEEN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10490 SW EASTRIDGE ST, SUITE 110C, PORTLAND, OR 97225-5030
(503) 705-1812
(888) 869-8920
Mailing address
9190 SW WEST HAVEN DR, PORTLAND, OR 97225-6753
(503) 705-1812
(888) 869-8920
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01247
OR
Other
Enumeration date
01/05/2009
Last updated
11/13/2015
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