Individual
MYCHELL E VINCENT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
15480 SE 82ND DR, CLACKAMAS, OR 97015-9633
(503) 656-5510
(503) 656-8080
Mailing address
9205 SE CLACKAMAS RD, # 147, CLACKAMAS, OR 97015-9657
(503) 656-5510
(503) 656-8080
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00408
OR
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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