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1922770155
JUSTIN LONG
PORTLAND, OR
NPI
1922770155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC206937)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
JUSTIN LONG LAc
819 SE MORRISON ST STE 115
PORTLAND, OR 97214-6308
Phone number: 503-956-9396
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Mailing Address
JUSTIN LONG LAc
5853 SW TERWILLIGER BLVD
PORTLAND, OR 97239-2860
Phone number: 503-515-7191
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