Individual
LINDSEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 E BURNSIDE ST, PORTLAND, OR 97214-2073
(503) 758-9760
Mailing address
2347 NE 8TH AVE, PORTLAND, OR 97212-3859
(661) 600-6144
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC202576
OR
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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