Individual
DEVAN LAURA TORBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1836 NE 7TH AVE STE 103, PORTLAND, OR 97212-3996
(503) 433-5702
Mailing address
3526 NE 57TH AVE, PORTLAND, OR 97213-1737
(503) 335-9440
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC190431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760087
—
OR
Enumeration date
02/22/2019
Last updated
01/23/2020
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