Individual
DOUGLAS SCOTT WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 494-7242
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 494-7242
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156200
OR
Other
Enumeration date
01/10/2012
Last updated
10/29/2018
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