Individual
MISS AMANDA CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LA.C
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
810 SE 34TH AVE, PORTLAND, OR 97214-4216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01082
OR
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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