Individual
LEELA JACKIE LONGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC.OM
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
Mailing address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150466
OR
Other
Enumeration date
07/06/2010
Last updated
12/14/2023
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