Individual
MISS LANAI MARTHA MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2232 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 552-2085
(503) 827-8460
Mailing address
2232 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 552-2085
(503) 827-8460
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01119
OR
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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