Individual
LORI MICHELE PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC; MAOM
Contact information
Practice address
3922 NE SUMNER ST, PORTLAND, OR 97211-8071
(503) 753-4402
Mailing address
3922 NE SUMNER ST, PORTLAND, OR 97211-8071
(503) 753-4402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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