TRISTA L. JOLLY

PORTLAND, OR
NPI1952589129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC01171)
Enumeration Date2008-02-09
Last Update Date2008-02-09
Business Address
-- TRISTA L. JOLLY MAOM, L.Ac.
3234 NE WASCO ST
PORTLAND, OR 97232-1981
Phone number: 503-703-3197
Mailing Address
-- TRISTA L. JOLLY MAOM, L.Ac.
1142 SE 52ND AVE
PORTLAND, OR 97215-2633
Phone number: 503-703-3197