KELLY LYNN BAUCUM

PORTLAND, OR
NPI1104284736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC175542)
Enumeration Date2016-02-10
Last Update Date2026-04-29
Business Address
KELLY LYNN BAUCUM LAc
1809 NE 2ND AVE
PORTLAND, OR 97212-3933
Phone number: 503-683-2826
Mailing Address
KELLY LYNN BAUCUM LAc
1809 NE 2ND AVE
PORTLAND, OR 97212-3933
Phone number: 503-683-2826