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1760194534
MELISSA KS BAUTISTA
PORTLAND, OR
NPI
1760194534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC208634)
Enumeration Date
2022-12-23
Last Update Date
2022-12-23
Business Address
MELISSA KS BAUTISTA MAcOM, LAc
833 SE MAIN ST STE 323
PORTLAND, OR 97214-3427
Phone number: 503-894-0064
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Mailing Address
MELISSA KS BAUTISTA MAcOM, LAc
3135 SE 89TH AVE
PORTLAND, OR 97266
Phone number: 971-226-3539
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