Individual
ERIN KATE FELLENZ BROCKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
9955 SE WASHINGTON ST STE 320, PORTLAND, OR 97216-2439
(503) 253-8818
(503) 253-0377
Mailing address
9955 SE WASHINGTON ST STE 320, PORTLAND, OR 97216-2439
(503) 253-8818
(503) 253-0377
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01074
OR
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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