Individual
MAURA DAWGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4756 NE 14TH AVE, PORTLAND, OR 97211-5012
(510) 847-6489
Mailing address
4756 NE 14TH AVE, PORTLAND, OR 97211-5012
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153455
OR
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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