Individual
YISHAN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 SW VERMONT ST, SUITE C AND D, PORTLAND, OR 97219-1945
(971) 888-4138
Mailing address
1820 SW VERMONT ST, SUITE C AND D, PORTLAND, OR 97219-1945
(971) 888-4138
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161807
OR
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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