Individual
MS. BRYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACOM, L.AC.
Contact information
Practice address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 789-7576
Mailing address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00603
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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