Individual
PHILIP QUEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(971) 563-7532
Mailing address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00862
OR
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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