DANIEL RAIDER

PORTLAND, OR
NPI1760676142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC00624)
Enumeration Date2007-08-29
Last Update Date2007-08-29
Business Address
Mr. DANIEL RAIDER L.Ac., Ma.O.M.
2330 NW FLANDERS ST SUITE 205
PORTLAND, OR 97210-3442
Phone number: 503-701-8766
Mailing Address
Mr. DANIEL RAIDER L.Ac., Ma.O.M.
20233 NW SAUVIE ISLAND RD
PORTLAND, OR 97231-1317
Phone number: 503-621-3146
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