Individual
SAMANTHA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, LAC
Contact information
Practice address
117 SE TAYLOR ST STE 201, PORTLAND, OR 97214-2277
(206) 866-4680
Mailing address
2478 NW SAVIER ST APT 1, PORTLAND, OR 97210-2561
(206) 866-4680
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC164097
OR
Other
Enumeration date
09/01/2013
Last updated
01/25/2023
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