Individual
CORINNE NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 SW SHATTUCK RD, PORTLAND, OR 97221-1043
(617) 270-1131
Mailing address
6124 NE HOYT ST, PORTLAND, OR 97213-4355
(617) 270-1131
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
226521
MA
171100000X
Acupuncturist
AC165202
OR
225100000X
Physical Therapist
Primary
03224
OR
Other
Enumeration date
05/21/2007
Last updated
01/02/2014
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