Organization
KIM KNIGHT, MACOM, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN KNIGHT MACOM, LAC (OWNER/ACUPUNCTURIST)
(503) 208-5460
Entity
Organization
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 208-5460
(888) 698-4906
Mailing address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 208-5460
(888) 698-4906
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01163
OR
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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