Individual
CLIFF R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2722 NE FREMONT DR, PORTLAND, OR 97220-5341
(503) 894-1284
Mailing address
2722 NE FREMONT DR, PORTLAND, OR 97220-5341
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
154005
OR
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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