Individual
MS. SALLY M SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2220 SW 1ST AVE, PORTLAND, OR 97201-5003
(503) 552-1933
(503) 257-5929
Mailing address
2220 SW 1ST AVE, PORTLAND, OR 97201-5003
(503) 552-1933
(503) 257-5929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01252
OR
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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