Individual
YAN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., D.A.O.M.
Contact information
Practice address
12778 SE STARK ST., PLAZA 125, BLDG B, PORTLAND, OR 97233
(503) 317-3113
(503) 459-4709
Mailing address
12778 SE STARK ST., PLAZA 125, BLDG B, PORTLAND, OR 97233
(503) 317-3113
(503) 459-4709
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002588
WA
171100000X
Acupuncturist
Primary
AC00498
OR
Other
Enumeration date
03/28/2007
Last updated
10/06/2014
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