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Individual

CHRISTOPHER MICHAEL BONNICHSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC MAOAM

Contact information

Practice address
4511 SE HAWTHORNE BLVD STE 208, PORTLAND, OR 97215-3170
(503) 998-6357
Mailing address
4511 SE HAWTHORNE BLVD STE 208, PORTLAND, OR 97215-3170
(503) 998-6357

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153361
OR

Other

Enumeration date
10/05/2011
Last updated
11/04/2011
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