Individual
BRADLEY JAMES SASAO-RUEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1110 SE ALDER ST STE 110, PORTLAND, OR 97214-2400
(971) 417-6205
Mailing address
1110 SE ALDER ST STE 110, PORTLAND, OR 97214-2400
(971) 417-6205
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC203559
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500840197
—
OR
Enumeration date
03/10/2021
Last updated
09/15/2025
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