Individual
KENDRA DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.M.
Contact information
Practice address
2330 NW FLANDERS ST, SUITE 101, PORTLAND, OR 97210-3442
(503) 701-8766
Mailing address
2330 NW FLANDERS ST, SUITE 101, PORTLAND, OR 97210-3442
(503) 701-8766
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
160246
OR
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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