Individual
STACEY GUGGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
1427 NW FLANDERS ST STE A, PORTLAND, OR 97209-2646
(503) 972-0235
Mailing address
2459 SE TUALATIN VALLEY HWY, SUITE 416, HILLSBORO, OR 97123-1247
(503) 972-0235
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC157485
OR
175F00000X
Naturopath
Primary
ND1822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645662
—
OR
Enumeration date
03/08/2011
Last updated
03/17/2018
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