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Individual

DR. REBECCA DAWN GROEBNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DAC, LAC

Contact information

Practice address
1235 SE DIVISION ST STE 106A, PORTLAND, OR 97202-1042
(503) 575-5499
Mailing address
6427 NE 8TH AVE, PORTLAND, OR 97211-3607
(503) 575-5499
(971) 229-8922

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156285
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063817450
GROUP NPI
OR
05
500676108
OR
Enumeration date
08/26/2014
Last updated
10/30/2023
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