Organization
BRIDGE POINT LLC
Active
Other names
Bridge Point Acupuncture & Herbal Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY M DUVENDACK L.AC. (ACUPUNCTURIST/OWNER)
(503) 504-9819
Entity
Organization
Contact information
Practice address
12778 SE STARK ST, PORTLAND, OR 97233-1539
(503) 504-9819
Mailing address
10350 N VANCOUVER WAY # 235, PORTLAND, OR 97217-7530
(503) 504-9819
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
01208
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174774848
NPPES
OR
Enumeration date
12/29/2008
Last updated
12/29/2008
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