Organization
CLACKAMAS CENTER FOR TRADITIONAL MEDICINE, INC
Active
Other names
Lake Road Acupuncture & Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL KIM GRIESMEYER LAC, RN (PRESIDENT)
(503) 653-1468
Entity
Organization
Contact information
Practice address
7831 SE LAKE RD, SUITE 101, PORTLAND, OR 97267-2193
(503) 653-1468
(503) 496-0727
Mailing address
7831 SE LAKE RD, SUITE 101, PORTLAND, OR 97267-2193
(503) 653-1468
(503) 496-0727
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00831
OR
Other
Enumeration date
11/16/2007
Last updated
06/21/2010
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