Organization
COLLEEN DONNELLY ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN DONNELLY L.AC. (SOLE MEMBER)
(503) 705-1812
Entity
Organization
Contact information
Practice address
2601 NE GLISAN ST, PORTLAND, OR 97232-2317
(503) 232-1948
Mailing address
3105 SE 59TH AVE, PORTLAND, OR 97206-2035
(503) 705-1812
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01247
OR
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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