Individual
JANICE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 N COMMERCIAL AVE, PORTLAND, OR 97217-2340
(971) 227-1534
Mailing address
5510 N COMMERCIAL AVE, PORTLAND, OR 97217-2340
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC174745
OR
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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