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1942800560
MICHAEL GARY RICCI
PORTLAND, OR
NPI
1942800560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC200078)
Enumeration Date
2020-11-01
Last Update Date
2020-11-01
Business Address
MICHAEL GARY RICCI Lac
11750 SW BARNES RD STE 240
PORTLAND, OR 97225-5911
Phone number: 503-389-6962
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Mailing Address
MICHAEL GARY RICCI Lac
804 SE 30TH AVE
PORTLAND, OR 97214-4008
Phone number: 503-407-7062
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