JONATHAN IRVIN

PORTLAND, OR
NPI1427569052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC184368)
Enumeration Date2017-10-23
Last Update Date2020-07-01
Business Address
JONATHAN IRVIN LAc.
2121 W BURNSIDE ST
PORTLAND, OR 97210-3519
Phone number: 503-432-8348
Mailing Address
JONATHAN IRVIN LAc.
525 SE 41ST AVE APT 16
PORTLAND, OR 97214-3259
Phone number: 206-305-8709