Individual
MR. MICHAEL C MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Contact information
Practice address
4203 SE HAWTHORNE BLVD, SUITE A, PORTLAND, OR 97215-3160
(503) 351-8853
Mailing address
4203 SE HAWTHORNE BLVD, SUITE A, PORTLAND, OR 97215-3160
(503) 351-8853
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OR 156717
OR
174400000X
Specialist
OREGON LMT 14129
OR
Other
Enumeration date
06/19/2009
Last updated
11/27/2012
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