Organization
BRIDGETOWN ACUPUNCTURE AND HERBAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LYNN STEWART LAC (OWNER)
(503) 567-8589
Entity
Organization
Contact information
Practice address
8401 NE HALSEY ST STE 104, PORTLAND, OR 97220-5670
(503) 567-8589
Mailing address
8401 NE HALSEY ST STE 104, PORTLAND, OR 97220-5670
(503) 567-8589
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC159844
OR
Other
Enumeration date
07/12/2013
Last updated
12/08/2024
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