Individual
JUSTIN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1201 SW 12TH AVE, SUITE 205, PORTLAND, OR 97205-2046
(503) 279-0205
(503) 279-0206
Mailing address
1201 SW 12TH AVE, SUITE 205, PORTLAND, OR 97205-2046
(503) 279-0205
(503) 279-0206
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01238
OR
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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