Individual
MR. GREGORY AARON HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MACOM,LMT
Contact information
Practice address
8575 SW SAGERT ST, TUALATIN, OR 97062-9115
(503) 427-0545
Mailing address
8535 SW SAGERT ST, TUALATIN, OR 97062-9115
(503) 427-0545
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00834
OR
225700000X
Massage Therapist
9292
OR
Other
Enumeration date
02/01/2007
Last updated
07/03/2008
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