MYRA THERIAULT

PORTLAND, OR
NPI1861864076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC174883)
Enumeration Date2015-10-27
Last Update Date2020-12-07
Business Address
MYRA THERIAULT LAc
4424 NE GLISAN ST
PORTLAND, OR 97213-2331
Phone number: 503-477-5167
Mailing Address
MYRA THERIAULT LAc
4424 NE GLISAN ST
PORTLAND, OR 97213-2331
Phone number: 971-258-0902
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