Organization
SPIRIT POINT MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CONRAD LAC (PRESIDENT)
(503) 453-3577
Entity
Organization
Contact information
Practice address
5532 SE KNIGHT ST, PORTLAND, OR 97206-6022
(503) 453-3577
Mailing address
5532 SE KNIGHT ST, PORTLAND, OR 97206-6022
(503) 453-3577
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
140952
OR
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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