Individual
ELIZABETH BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7642 SW CAPITOL HWY, PORTLAND, OR 97219-2437
(971) 228-5939
Mailing address
9322 N CHARLESTON AVE, PORTLAND, OR 97203-2204
(510) 866-8918
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC220845
OR
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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