Individual
SARAH JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC., MAOM
Contact information
Practice address
5432 N MARYLAND AVE, PORTLAND, OR 97217-4548
(503) 422-5417
Mailing address
815 N WEBSTER ST, PORTLAND, OR 97217-2528
(503) 422-5417
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150507
OR
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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