Individual
TRACY JOHNSON ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3835 SW 185TH AVE STE 200, ALOHA, OR 97007-1553
(503) 806-6340
(503) 591-1595
Mailing address
3835 SW 185TH AVE STE 200, ALOHA, OR 97007-1553
(503) 806-6340
(503) 591-1595
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC OOO610
OR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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