Organization
CONGDON ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL P CONGDON L.AC., LMT (OWNER)
(503) 225-9033
Entity
Organization
Contact information
Practice address
4425 SW CORBETT AVE UPPR, PORTLAND, OR 97239-4287
(503) 225-9033
Mailing address
5715 SE JENNINGS AVE, MILWAUKIE, OR 97267-6508
(503) 225-9033
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC154157
OR
Other
Enumeration date
04/08/2013
Last updated
10/25/2019
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