Organization
INVISIBLE GRACE ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN LOVETERE (DIRECTOR)
(503) 459-9936
Entity
Organization
Contact information
Practice address
4440 SW CORBETT AVE, PORTLAND, OR 97239-4275
(503) 224-9944
Mailing address
4440 SW CORBETT AVE, PORTLAND, OR 97239-4275
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACOO267
OR
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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