Individual
KIYOKA OGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4530 SW HALL BLVD, BEAVERTON, OR 97005
(503) 913-6218
(503) 386-2224
Mailing address
8835 SW 51ST AVE, PORTLAND, OR 97219-3373
(503) 245-1196
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01054
OR
Other
Enumeration date
08/27/2013
Last updated
07/12/2018
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