Organization
PAMELA LOVALL LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PATRICE LOVALL LAC. (ACUPUNCTURIST)
(503) 380-1756
Entity
Organization
Contact information
Practice address
6634 E BURNSIDE, APT J, PORTLAND, OR 97215
(503) 380-1756
Mailing address
4590 SW WATSON AVE, BEAVERTON, OR 97005
(503) 277-2460
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC159414
OR
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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