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Individual

REGENIA GAIL BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
1235 SE DIVISION ST, SUITE 115, PORTLAND, OR 97202-1099
(503) 975-9798
Mailing address
1235 SE DIVISION ST, SUITE 115, PORTLAND, OR 97202-1099
(503) 975-9798

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00674
OR

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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