Individual
LARA D DILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC. MSAOM
Contact information
Practice address
511 SW 10TH AVE, SUITE 1108, PORTLAND, OR 97205
(503) 224-6800
Mailing address
4424 N MCCOY CT., PORTLAND, OR 97203-6066
(503) 943-9331
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01068
OR
Other
Enumeration date
03/05/2007
Last updated
08/03/2018
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