Organization
LAURI ELIZABETH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI ELIZABETH LAC (OWNER)
(503) 816-1443
Entity
Organization
Contact information
Practice address
630 SE POWELL BLVD, PORTLAND, OR 97202-2623
(503) 816-1443
Mailing address
630 SE POWELL BLVD, PORTLAND, OR 97202-2623
(503) 816-1443
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC173876
OR
Other
Enumeration date
09/13/2016
Last updated
01/09/2017
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