Individual
REYNA ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12195 SW ALLEN BLVD, BEAVERTON, OR 97005-4720
(503) 624-0426
Mailing address
15171 SW WALKER RD APT C, BEAVERTON, OR 97006-7101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC192490
OR
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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