ANDREA JACKSON

GRESHAM, OR
NPI1518000140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC01036)
Enumeration Date2007-02-14
Last Update Date2011-07-08
Business Address
ANDREA JACKSON LAC
33 NE KELLY AVE
GRESHAM, OR 97030-7539
Phone number: 503-545-2393
Mailing Address
ANDREA JACKSON LAC
2005 SE 159TH PL
VANCOUVER, WA 98683-4406
Phone number: 503-545-2393
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