Individual
MALEA MACODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., M.S.O.M.
Contact information
Practice address
516 SE MORRISON ST, SUITE 207, PORTLAND, OR 97214-2327
(503) 239-1022
(503) 512-5850
Mailing address
3718 SE 33RD PL, PORTLAND, OR 97202-3056
(503) 754-5397
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
11/06/2014
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