Individual
HANNALISA GORDON-JOHNSON BEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MACOM
Contact information
Practice address
215 SE 6TH ST STE 211, GRANTS PASS, OR 97526-2471
(541) 543-1407
Mailing address
1530 SE 84TH AVE, PORTLAND, OR 97216-1315
(541) 543-1407
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
196357
OR
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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