Individual
MS. GERI M OTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
5112 SW MAPLEWOOD RD, PORTLAND, OR 97219-1446
(503) 239-7762
Mailing address
5112 SW MAPLEWOOD RD, PORTLAND, OR 97219-1446
(503) 239-7762
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC005004
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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