Individual
PAMELA PATRICE LOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4590 SW WATSON AVE, BEAVERTON, OR 97005-0545
(503) 730-8102
Mailing address
4590 SW WATSON AVE, BEAVERTON, OR 97005-0545
(503) 730-8102
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159414
OR
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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