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1902042773
LISA MARIE ELLIS
PORTLAND, OR
NPI
1902042773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00600)
Enumeration Date
2008-12-29
Last Update Date
2008-12-29
Business Address
-- LISA MARIE ELLIS LAC
1212 SE POWELL BLVD SUITE C
PORTLAND, OR 97202-2460
Phone number: 541-556-3443
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Mailing Address
-- LISA MARIE ELLIS LAC
1212 SE POWELL BLVD SUITE C
PORTLAND, OR 97202-2460
Phone number: 541-556-3443
Copy
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