Individual
LENORE CANGELOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MSAOM
Contact information
Practice address
1235 SE DIVISION STREET, SUIE 117, PORTLAND, OR 97202
(732) 995-4751
Mailing address
1235 SE DIVISION ST STE 117, PORTLAND, OR 97202-1085
(732) 995-4751
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
179677
OR
171100000X
Acupuncturist
Primary
AC179677
OR
Other
Enumeration date
04/14/2017
Last updated
12/12/2018
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