Individual
CANDACE GOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
713 SE 60TH AVE APT 3, PORTLAND, OR 97215-1965
(971) 222-5112
Mailing address
PO BOX 15169, PORTLAND, OR 97293-5169
(971) 222-5112
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC200477
OR
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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