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1770123739
FOREST AMSDEN
PORTLAND, OR
NPI
1770123739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC190822)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
FOREST AMSDEN LAc, MAcOM
1033 SW YAMHILL ST STE 300
PORTLAND, OR 97205-2539
Phone number: 503-222-1315
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Mailing Address
FOREST AMSDEN LAc, MAcOM
2066 NW OVERTON ST APT 3
PORTLAND, OR 97209-1654
Phone number: 541-285-2366
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