Provider First Line Business Practice Location Address:
PINE ST COMMUNITY ACUPUNCTURECLINIC
Provider Second Line Business Practice Location Address:
215 SE 9 TH#104
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-351-3771
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2008