Individual
TRACY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, LAC
Contact information
Practice address
2301 NW THURMAN ST, SUITE O, PORTLAND, OR 97210-2581
(503) 250-3012
(503) 208-8028
Mailing address
2301 NW THURMAN ST, SUITE O, PORTLAND, OR 97210-2581
(503) 250-3012
(503) 208-8028
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00816
OR
Other
Enumeration date
01/11/2007
Last updated
12/05/2013
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