Individual
KATHERINE DELLENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.M., L.AC.
Contact information
Practice address
309 LAUREL AVE, TILLAMOOK, OR 97141-2313
(503) 842-6532
(503) 842-5191
Mailing address
4505 SE BOISE ST, PORTLAND, OR 97206-4037
(971) 998-7064
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00812
OR
Other
Enumeration date
04/04/2007
Last updated
06/29/2012
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