Individual
MARC GADOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L AC
Contact information
Practice address
407 NE 12TH, #205, PORTLAND, OR 97232
(503) 872-9861
(503) 232-7440
Mailing address
407 NE 12TH, #205, PORTLAND, OR 97232
(503) 872-9861
(503) 232-7440
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC00208
OR
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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