Individual
PATRICIA EVANS BLAKESLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Contact information
Practice address
2600 NE RIDGEWOOD DR, PORTLAND, OR 97212-1540
(503) 284-4055
Mailing address
2600 NE RIDGEWOOD DR, PORTLAND, OR 97212-1540
(503) 284-4055
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00406
OR
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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