Organization
PORTLAND PEDIATRIC ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE LEBLANC L.AC. (MANAGER)
(971) 337-7387
Entity
Organization
Contact information
Practice address
2305 SE 50TH AVE STE 200, PORTLAND, OR 97215-3853
(503) 946-8605
Mailing address
3308 SE LINCOLN ST, PORTLAND, OR 97214-5744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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