Organization
NORTHWEST FAMILY ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA HICKS LAC (OWNER)
(503) 548-7170
Entity
Organization
Contact information
Practice address
1622 NW 15TH AVE, PORTLAND, OR 97209-2572
(503) 548-7170
Mailing address
10701 NW COPELAND ST, PORTLAND, OR 97229-6141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
180003
OR
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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