Individual
GLORIA JEAN NEPSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
3200 NW SKYLINE BLVD, PORTLAND, OR 97229-3815
(503) 291-7133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00194
OR
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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