Individual
DR. KRISTA MARIE OBENLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSOM
Contact information
Practice address
2408 N BALDWIN ST, PORTLAND, OR 97217-6404
(503) 673-6038
Mailing address
2408 N BALDWIN ST, PORTLAND, OR 97217-6404
(503) 673-6038
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC197250
OR
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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