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1285060020
EVAN SPENCER STACY
PORTLAND, OR
NPI
1285060020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC153198)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- EVAN SPENCER STACY L.Ac
2 NW 3RD AVE
PORTLAND, OR 97209-3907
Phone number: 503-841-6828
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Mailing Address
-- EVAN SPENCER STACY L.Ac
715 SW KING AVE APT 4
PORTLAND, OR 97205-1403
Phone number: 540-449-5664
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