Individual
MR. STEPHEN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
959 SE DIVISION ST, PORTLAND, OR 97214
(503) 808-7178
Mailing address
12460 SW DOUGLAS ST, PORTLAND, OR 97225-4538
(503) 893-2139
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC161464
OR
Other
Enumeration date
08/01/2013
Last updated
11/27/2018
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