Individual
LISA KAREN TONGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210
(503) 577-3669
(503) 241-5484
Mailing address
2330 NW FLANDERS ST STE 101, PORTLAND, OR 97210-3400
(503) 577-3669
(503) 241-5484
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-4499714
IRS
OR
Enumeration date
05/21/2007
Last updated
09/15/2022
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