Individual
REBECCA LADIZHENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1971 NW OVERTON ST, PORTLAND, OR 97209-1618
(971) 302-6176
(971) 373-5946
Mailing address
4125 SE 32ND AVE, PORTLAND, OR 97202-3428
(415) 690-0690
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
174749
OR
Other
Enumeration date
10/13/2015
Last updated
03/24/2022
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