Individual provider · NPI-1

Caitlynn Claire Didlick Bohman, LAc, DACM, MAcOM

Acupuncturist · Gresham, OR

NPI number1871292912
StatusActive
Last updated in NPPESFeb 6, 2024

Details

NPI
1871292912
Entity type
Individual (NPI-1)
Name
Caitlynn Claire Didlick Bohman
Credential
LAc, DACM, MAcOM
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2023
Certification date
Feb 6, 2024
Last updated
Feb 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC214597ORYes

Practice location

22400 Se Stark St Ste 106
Gresham, OR 97030-2656

Phone 503-913-2136 · Fax 503-825-0137

Mailing address

22400 Se Stark St Ste 106
Gresham, OR 97030-2656

Phone 503-913-2136 · Fax 503-825-0137

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