Individual
DR. BEVERLY KI HACELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., L.AC.
Contact information
Practice address
7000 SW HAMPTON ST STE 130, TIGARD, OR 97223-8374
(503) 639-3777
(503) 639-1120
Mailing address
7000 SW HAMPTON ST STE 130, TIGARD, OR 97223-8374
(503) 639-3777
(503) 639-1120
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC171957
OR
175F00000X
Naturopath
Primary
1279
OR
Other
Enumeration date
12/01/2006
Last updated
05/18/2022
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