Individual
MATTHEW AARON ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
3626 SE MORRISON ST, PORTLAND, OR 97214-3152
(978) 407-2981
Mailing address
3626 SE MORRISON ST, PORTLAND, OR 97214-3152
(978) 407-2981
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
156227
OR
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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