Organization
RED PINE TCM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOEY YEAN LIM MAOM (OWNER OF RED PINE TCM, LLC)
(503) 209-9802
Entity
Organization
Contact information
Practice address
4016 SE 31ST AVE, PORTLAND, OR 97202-3404
(503) 209-9802
Mailing address
5103 SE 34TH AVE, PORTLAND, OR 97202-4107
(503) 209-9802
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170153
OR
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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