Individual
KRISHNA KARIANN AVALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4605 NE FREMONT ST, STE 103, PORTLAND, OR 97213-1707
(503) 522-2872
Mailing address
4816 NE GOING ST, PORTLAND, OR 97218-2004
(503) 522-2872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000612
IL
171100000X
Acupuncturist
AC01299
OR
Other
Enumeration date
04/16/2008
Last updated
11/14/2016
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