Individual
KATIE ROSE BEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3314 SW KELLY AVE, PORTLAND, OR 97239-4628
(503) 610-0767
Mailing address
4211 SE ASH ST, PORTLAND, OR 97215-1028
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
186806
OR
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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