Individual
XIANGJUN DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
9735 SW SHADY LN, TIGARD, OR 97223-5481
(503) 501-9891
Mailing address
220 GREENRIDGE DR, LAKE OSWEGO, OR 97035-1427
(503) 501-9891
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170036
OR
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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