FOREST AMSDEN

PORTLAND, OR
NPI1770123739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC190822)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
FOREST AMSDEN LAc, MAcOM
1033 SW YAMHILL ST STE 300
PORTLAND, OR 97205-2539
Phone number: 503-222-1315
Mailing Address
FOREST AMSDEN LAc, MAcOM
2066 NW OVERTON ST APT 3
PORTLAND, OR 97209-1654
Phone number: 541-285-2366