Individual
MRS. JACLYN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1540 SE CLINTON ST, PORTLAND, OR 97202-1130
(503) 451-0895
(503) 974-0958
Mailing address
14825 SE HARMON CT, PORTLAND, OR 97267-1722
(208) 791-9136
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC176130
OR
Other
Enumeration date
02/23/2016
Last updated
03/19/2019
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