Organization
MARYA DEDA INC
Active
Other names
Acupuncture on Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
MARYA E. DEDA BARAKAT (LAC, LMT)
(503) 282-2268
Entity
Organization
Contact information
Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Mailing address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 282-2268
(503) 282-2863
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00978
OR
Other
Enumeration date
07/14/2009
Last updated
08/18/2011
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