Individual
MR. NICHOLAS LA PUMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 352-0177
Mailing address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01264
OR
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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