Individual
PAGE JOANNA MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3747 SE 49TH AVE, PORTLAND, OR 97206-3239
(503) 250-1054
Mailing address
3747 SE 49TH AVE, PORTLAND, OR 97206-3239
(503) 250-1054
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161338
OR
Other
Enumeration date
02/05/2013
Last updated
05/19/2015
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