Organization
ACCESS ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JACKSON LAC (OWNER)
(503) 545-2393
Entity
Organization
Contact information
Practice address
119 NE 3RD ST, GRESHAM, OR 97030-7403
(503) 545-2393
Mailing address
2005 SE 159TH PL, VANCOUVER, WA 98683-4406
(503) 545-2393
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01036
OR
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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