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Organization

STONE FOREST ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYBELE WHITNEY PHILLIPS LAC (ACUPUNCTURIST)
(206) 683-7789
Entity
Organization

Contact information

Practice address
1616 SE BYBEE BLVD, PORTLAND, OR 97202-5715
(503) 236-4654
Mailing address
5922 NE 11TH AVE, PORTLAND, OR 97211-4208
(206) 683-7789

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC177817
OR

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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