Organization
ALLYSON ABRAHAM LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON ABRAHAM LAC (ACUPUNCTURIST)
(503) 515-9118
Entity
Organization
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 515-9118
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 515-9118
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
156742
OR
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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