Individual
JONATHAN HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 234-6338
Mailing address
2211 SE 32ND PL, PORTLAND, OR 97214-5707
(206) 432-6458
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC169814
OR
Other
Enumeration date
02/23/2015
Last updated
11/28/2015
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