Individual
CAITLYNN CLAIRE DIDLICK BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, DACM, MACOM
Contact information
Practice address
22400 SE STARK ST STE 106, GRESHAM, OR 97030-2656
(503) 913-2136
(503) 825-0137
Mailing address
22400 SE STARK ST STE 106, GRESHAM, OR 97030-2656
(503) 913-2136
(503) 825-0137
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC214597
OR
Other
Enumeration date
02/27/2023
Last updated
02/06/2024
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