Individual
MS. EDIE BALDWIN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
1715 E BURNSIDE ST, PORTLAND, OR 97214-1531
(503) 234-4622
(503) 788-6399
Mailing address
PO BOX 19503, PORTLAND, OR 97280-0503
(503) 234-4622
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00156
OR
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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