Organization
KJELL MOLINE, L.AC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KJELL CAMERON MOLINE L.AC. (OWNER)
(503) 241-6505
Entity
Organization
Contact information
Practice address
506 SW 6TH AVE, SUITE 801, PORTLAND, OR 97204-1533
(503) 241-6505
(503) 296-2205
Mailing address
506 SW 6TH AVE, SUITE 801, PORTLAND, OR 97204-1533
(503) 241-6505
(503) 296-2205
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01254
OR
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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