Organization
VITALIZE ACUPUNCTURE AND HERBAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GILCHRIST (OWNER)
(503) 756-2743
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE STE 610, PORTLAND, OR 97205-2707
(503) 756-2743
Mailing address
511 SW 10TH AVE STE 610, PORTLAND, OR 97205-2707
(503) 756-2743
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156204
OR
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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