Individual
JOHANNA LANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC,LMT
Contact information
Practice address
4035 NE SANDY BLVD, 248, PORTLAND, OR 97212-5331
(503) 432-3322
Mailing address
4904 NE 32ND AVE, PORTLAND, OR 97211-7024
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00685
OR
Other
Enumeration date
04/23/2007
Last updated
11/30/2015
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