KELLY BAUCUM

PORTLAND, OR
NPI1104284736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC175542)
Enumeration Date2016-02-10
Last Update Date2016-02-10
Business Address
-- KELLY BAUCUM LAc
4605 NE FREMONT ST STE 103
PORTLAND, OR 97213-1708
Phone number: 503-395-5228
Mailing Address
-- KELLY BAUCUM LAc
PO BOX 86371
PORTLAND, OR 97286-0371
Phone number: 503-395-5228
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