BRAD HAROLD WHISNANT

PORTLAND, OR
NPI1164608717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC01151)
Enumeration Date2008-01-14
Last Update Date2008-01-14
Business Address
-- BRAD HAROLD WHISNANT Lac
10490 SW EASTRIDGE ST
PORTLAND, OR 97225-5030
Phone number: 503-750-6238
Mailing Address
-- BRAD HAROLD WHISNANT Lac
11160 SW WAVERLY PL
PORTLAND, OR 97225-4456
Phone number: 503-750-6238