Individual
MR. GARY SPARKS BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MAOM
Contact information
Practice address
3531 NE 15TH AVE STE A, PORTLAND, OR 97212-2377
(503) 927-9853
Mailing address
1917 NW HOYT ST, PORTLAND, OR 97209-1225
(503) 709-6026
(503) 224-5024
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
41174
OR
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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