Individual
MR. ALFRED THIEME III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., DIPL. AC.
Contact information
Practice address
1417 SE 34TH AVE, PORTLAND, OR 97214-4225
(503) 481-0283
(503) 536-6590
Mailing address
1417 SE 34TH AVE, PORTLAND, OR 97214-4225
(503) 481-0283
(503) 536-6590
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01143
OR
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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