REBECCA L PROVORSE

PORTLAND, OR
NPI1508076258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC00861)
Additional Taxonomies175F00000X Naturopath
(Licence: OR  1375)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Dr. REBECCA L PROVORSE ND, LAc
1435 NW 23RD AVE SUITE 102
PORTLAND, OR 97210-2642
Phone number: 503-222-1865
Mailing Address
Dr. REBECCA L PROVORSE ND, LAc
1435 NW 23RD AVE SUITE 102
PORTLAND, OR 97210-2642
Phone number: 503-222-1865