LYDIA DIANE TATE

PORTLAND, OR
NPI1962161000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC208176)
Enumeration Date2021-12-16
Last Update Date2021-12-16
Business Address
Ms. LYDIA DIANE TATE LAc
4035 SE 52ND AVE STE B
PORTLAND, OR 97206-3913
Phone number: 971-229-2140
Mailing Address
Ms. LYDIA DIANE TATE LAc
4035 SE 52ND AVE STE B
PORTLAND, OR 97206-3913
Phone number: 971-229-2140
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