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Individual

DR. JUSTIN YOHALEM ILSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
4631 N ALBINA AVE, PORTLAND, OR 97217-3011
(503) 282-5358
(503) 735-3777
Mailing address
8925 N HODGE AVE, PORTLAND, OR 97203-3457
(503) 735-3777

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00836
OR
175F00000X
Naturopath
1400
OR

Other

Enumeration date
08/17/2006
Last updated
09/11/2025
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