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1013542208
EMMA ELLSWORTH
PORTLAND, OR
NPI
1013542208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC196567)
Enumeration Date
2020-03-08
Last Update Date
2020-03-08
Business Address
EMMA ELLSWORTH Lac
12778 SE STARK ST # 125
PORTLAND, OR 97233-1539
Phone number: 503-317-3113
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Mailing Address
EMMA ELLSWORTH Lac
4200 NW NORTH RD
PORTLAND, OR 97229-2593
Phone number: 804-878-9522
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