Individual
PETER LOGAN BORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2768 NW THURMAN ST, PORTLAND, OR 97210-2205
(503) 221-4123
Mailing address
2768 NW THURMAN ST, PORTLAND, OR 97210-2205
(503) 221-4123
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00528
OR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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