Individual
MR. KJELL CAMERON MOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
506 SW 6TH AVE, SUITE 801, PORTLAND, OR 97204-1533
(503) 241-6505
(503) 296-2205
Mailing address
506 SW 6TH AVE, SUITE 801, PORTLAND, OR 97204-1533
(503) 241-6505
(503) 296-2205
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01254
OR
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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