Individual provider · NPI-1

Sierra Nicole Abate, L.Ac.

Acupuncturist · Portland, OR

NPI number1235527482
StatusActive
Last updated in NPPESDec 22, 2014

Details

NPI
1235527482
Entity type
Individual (NPI-1)
Name
Ms. Sierra Nicole Abate
Credential
L.Ac.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 22, 2014
Last updated
Dec 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC169954ORYes
171100000X AcupuncturistAC16075CA

Practice location

2808 Ne Mlk Blvd
Suite C
Portland, OR 97212

Phone 520-907-6339

Mailing address

2808 Ne Mlk Blvd
Suite C
Portland, OR 97212

Phone 520-907-6339

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