Sr Clinic
Acupuncturist in Portland, OR. Organization (NPI-2).
NPI number1043045388
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1043045388
- Entity type
- Organization (NPI-2)
- Legal business name
- Sr Clinic
- Organization subpart
- No
- Enumeration date
- Sep 5, 2024
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Other names
- Resonance Clinic (Doing Business As)
Practice location
4246 Se Belmont St Ste 5Portland, OR 97215-1676
Phone 503-445-8114
Mailing address
4246 Se Belmont St Ste 5Portland, OR 97215-1676
Phone 503-445-8114
Authorized official
Jameson James
Owner
6466239057
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