Individual
MR. GABRIEL STEVEN PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
10001 SE SUNNYSIDE RD STE 204, CLACKAMAS, OR 97015-9704
(503) 730-4203
Mailing address
3847 MEADOWLAWN LOOP SE APT 6, SALEM, OR 97317-5358
(503) 730-4203
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156435
OR
Other
Enumeration date
12/15/2011
Last updated
05/04/2012
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