Individual
MR. DANIEL RAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., MA.O.M.
Contact information
Practice address
2330 NW FLANDERS ST, SUITE 205, PORTLAND, OR 97210-3442
(503) 701-8766
Mailing address
20233 NW SAUVIE ISLAND RD, PORTLAND, OR 97231-1317
(503) 621-3146
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00624
OR
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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