Organization
KRISHNA AVALON ACUPUNCTURE, INC
Active
Other names
Krishna Bader, L.AC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA AVALON L.AC (OWNER)
(503) 522-2872
Entity
Organization
Contact information
Practice address
4605 NE FREMONT ST, STE 103, PORTLAND, OR 97213
(503) 522-2872
(844) 252-8069
Mailing address
4816 NE GOING ST., PORTLAND, OR 97218
(503) 522-2872
(844) 252-8069
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01299
OR
Other
Enumeration date
08/22/2013
Last updated
01/09/2017
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