Organization
MALIA SUSEE, L.AC, MACOM, DIPL.OM
Active
Other names
Good Medicine Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MALIA SUSEE L.AC, MACOM, DIPL.OM (OWNER)
(503) 272-1550
Entity
Organization
Contact information
Practice address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 272-1550
(503) 234-6338
Mailing address
4410 NE GLISAN ST, PORTLAND, OR 97213-2331
(503) 272-1550
(503) 234-6338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500818178
—
OR
Enumeration date
01/06/2020
Last updated
01/06/2020
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