Individual
ELIZABETH KATHERINE MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2216 SE 50TH AVE, PORTLAND, OR 97215-3827
(808) 722-2682
Mailing address
2216 SE 50TH AVE, PORTLAND, OR 97215-3827
(808) 722-2682
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC185225
OR
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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