Organization
MALIA SUSEE, L.AC.
Active
Parent organization
MALIA SUSEE, L.AC.
Other names
Good Medicine Acupuncture
Organization subpart
Yes
Provider details
NPI number
Legal business name
MALIA SUSEE, L.AC.
Authorized official
MALIA TARIE SUSEE L.AC. (OWNER)
(503) 816-1278
Entity
Organization
Contact information
Practice address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
(503) 233-9151
Mailing address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
(503) 233-9151
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01034
OR
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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