MACKENNA RAE MASTRUD

PORTLAND, OR
NPI1972243749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC209770)
Enumeration Date2022-03-30
Last Update Date2022-03-30
Business Address
MACKENNA RAE MASTRUD LAc
2939 SW SPRING GARDEN ST
PORTLAND, OR 97219-3946
Phone number: 971-350-9148
Mailing Address
MACKENNA RAE MASTRUD LAc
2939 SW SPRING GARDEN ST
PORTLAND, OR 97219-3946
Phone number: 971-350-9148