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1427569052
JONATHAN IRVIN
PORTLAND, OR
NPI
1427569052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC184368)
Enumeration Date
2017-10-23
Last Update Date
2020-07-01
Business Address
JONATHAN IRVIN LAc.
2121 W BURNSIDE ST
PORTLAND, OR 97210-3519
Phone number: 503-432-8348
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Mailing Address
JONATHAN IRVIN LAc.
525 SE 41ST AVE APT 16
PORTLAND, OR 97214-3259
Phone number: 206-305-8709
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