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Individual

ANDREA L PERUZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
10541 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-2826
(503) 445-0953
Mailing address
10421 SE PINE ST APT R107, PORTLAND, OR 97216-4607
(503) 758-3579

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159736
OR

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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