Individual
MS. JEAN ELAINE DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., BBA
Contact information
Practice address
1715 NW 23RD AVE, PORTLAND, OR 97210-2692
(503) 227-3828
Mailing address
1715 NW 23RD AVE, PORTLAND, OR 97210-2692
(503) 227-3828
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00186
OR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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