Organization
MORGAN COSTLEY LAC LMT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN COSTLEY LAC LMT (LICENSED ACUPUNCTURIST)
(503) 560-0843
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL STE 100, BEAVERTON, OR 97006-4908
(503) 560-0843
Mailing address
2503 NE 59TH AVE, PORTLAND, OR 97213-4011
(503) 560-0843
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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