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1992050447
ANTON SELIVONCHICK
PORTLAND, OR
NPI
1992050447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC157170)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
-- ANTON SELIVONCHICK L.Ac.
2100 NE BROADWAY ST STE 225
PORTLAND, OR 97232-1544
Phone number: 503-490-6689
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Mailing Address
-- ANTON SELIVONCHICK L.Ac.
790 SE WEBBER ST UNIT 401
PORTLAND, OR 97202-7051
Phone number: 503-490-6689
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