Individual
GLENDA CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, LAC
Contact information
Practice address
2104C N. WIILIS BLVD, PORTLAND, OR 97217
(503) 475-4370
Mailing address
2104C N. WIILIS BLVD, PORTLAND, OR 97217
(503) 475-4370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
24192
OR
111N00000X
Chiropractor
Primary
3679
OR
171100000X
Acupuncturist
AC171449
OR
Other
Enumeration date
05/03/2007
Last updated
06/14/2021
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