Individual
MRS. RAMA VASUDEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1975 NW 167TH PL STE 100-14, BEAVERTON, OR 97006-4908
(971) 435-4325
Mailing address
11294 NW MANTRA LN, PORTLAND, OR 97229-4893
(503) 961-2854
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC217740
OR
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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