Organization
HAWTHORNE EAST ASIAN MEDICAL CLINIC
Active
Other names
Laurelhurst Family Clinic, Laurelhurst Family Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE ANNA HABER L.AC. (OWNER, ACUPUNCTURIST)
(503) 470-5200
Entity
Organization
Contact information
Practice address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 470-5200
(503) 234-6338
Mailing address
2706 SE LINCOLN ST, PORTLAND, OR 97214-5556
(503) 928-2595
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC153031
OR
171100000X
Acupuncturist
Primary
AC161513
OR
171100000X
Acupuncturist
—
—
Other
Enumeration date
09/15/2017
Last updated
06/16/2018
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