Individual
LISA ROHLEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 335-9440
Mailing address
6105 NE BEECH ST, PORTLAND, OR 97213-3225
(503) 281-9394
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC000254
OR
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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