Organization
RED PEONY ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELENA STEFANOVIC L.AC (ACUPUNCTURIST)
(503) 222-1668
Entity
Organization
Contact information
Practice address
1915 NW KEARNEY ST., PORTLAND, OR 97209
(503) 222-1668
Mailing address
1915 NW KEARNEY ST., PORTLAND, OR 97209
(503) 222-1668
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01100
OR
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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