Individual
ELIZABETH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3109 NE BROADWAY ST, PORTLAND, OR 97232-1812
(971) 341-9546
(971) 275-1446
Mailing address
3109 NE BROADWAY ST, PORTLAND, OR 97232-1812
(971) 341-9546
(971) 275-1446
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC179845
OR
Other
Enumeration date
10/21/2016
Last updated
12/12/2019
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