Individual
NURA CARRIE WILSON KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
6550 SE MORRISON ST, PORTLAND, OR 97215-2015
(503) 804-1547
Mailing address
6550 SE MORRISON STREET, PORTLAND, IL 97215-2015
(503) 804-1547
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00409
OR
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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