Individual
MR. ADAM GAWLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2001 NW 19TH AVE STE 102, PORTLAND, OR 97209-1842
(503) 360-0053
Mailing address
2001 NW 19TH AVE STE 102, PORTLAND, OR 97209-1842
(503) 360-0053
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC208096
OR
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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