Individual
JENNIFER HURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8317 SE 13TH AVE, PORTLAND, OR 97202-7101
(262) 227-9836
Mailing address
8124 SE 9TH AVE, PORTLAND, OR 97202-6507
(262) 227-9836
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
185920
OR
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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