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Organization

INSIGHT OSTEOPATHIC MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN MCCLENON SACON DO (OWNER)
(503) 491-5555
Entity
Organization

Contact information

Practice address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 491-5555
(503) 674-5005
Mailing address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 491-5555
(503) 674-5005

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO20023
OR
224Y00000X
Clinical Exercise Physiologist
225700000X
Massage Therapist
6654
OR

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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