Individual
CLAIRE JEANETTE KIRKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., RN
Contact information
Practice address
123 E POWELL BLVD STE 206, GRESHAM, OR 97030-7622
(503) 804-0687
Mailing address
123 E POWELL BLVD STE 206, GRESHAM, OR 97030-7622
(503) 804-0687
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00364
OR
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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