Organization
NIGHTINGALE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN DILLEY LAC (OWNER)
(503) 953-0933
Entity
Organization
Contact information
Practice address
5128 NE 42ND AVE, PORTLAND, OR 97218-1506
(503) 953-0933
Mailing address
4310 NE SUMNER ST, PORTLAND, OR 97218-1544
(503) 953-0933
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 153381
OR
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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