Individual
MR. MARK FREDERIC GOLDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1011 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 232-3857
Mailing address
1011 EAST BURNSIDE, PORTLAND, OR 97214
(503) 232-3857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00297
OR
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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