Individual
MICHAEL SVOBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2917 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 314-0452
Mailing address
4518 NE 19TH AVE, PORTLAND, OR 97211-5806
(503) 314-0452
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170385
OR
Other
Enumeration date
11/06/2014
Last updated
12/09/2014
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