Individual
CORINA LEE BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1904 ELM ST, SUITE 4, FOREST GROVE, OR 97116-2553
(503) 490-4185
Mailing address
41613 NW BUCKSHIRE ST, BANKS, OR 97106-6006
(503) 490-4185
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156406
OR
Other
Enumeration date
04/27/2012
Last updated
01/16/2017
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