Organization
RICK DETROYE. L.AC., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAM DETROYE L.AC. (OWNER)
(503) 484-3513
Entity
Organization
Contact information
Practice address
200 NE 20TH AVE, SUITE 140, PORTLAND, OR 97232-3094
(503) 484-3513
(503) 239-1167
Mailing address
200 NE 20TH AVE, SUITE 140, PORTLAND, OR 97232-3094
(503) 484-3513
(503) 239-1167
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00389
OR
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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