Individual
MARIANNE MUNCH BANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1535 NE 41ST AVE, PORTLAND, OR 97232-1807
(503) 282-9777
Mailing address
2839 NE 69TH AVE, PORTLAND, OR 97213-4653
(503) 287-4066
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01213
OR
Other
Enumeration date
11/25/2008
Last updated
01/23/2013
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