ANCIENT FERN MEDICINE

PORTLAND, OR
NPI1053763466
Entity TypeOrganization
Authorized ContactTIMOTHY NICHOLAS NELSON
Owner
971-227-2773
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC161759)
Enumeration Date2016-07-08
Last Update Date2016-07-08
Business Address
ANCIENT FERN MEDICINE
2926 NE FLANDERS ST STE 2C
PORTLAND, OR 97232-3259
Phone number: 971-227-2773
Mailing Address
ANCIENT FERN MEDICINE
2926 NE FLANDERS ST STE 2C
PORTLAND, OR 97232-3259
Phone number: 971-227-2773
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