Heather Lock Heatlie L.AC.

NPI 1336216308 - Acupuncturist - 171100000X

NPI Details
NPI 1336216308
Gender Female
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2216 SE 50TH AVE
PORTLAND OR, 97215-3827, US
Phone (503) 314-7817
Fax
Business Location
2204 SE 50TH AVE APT 2
PORTLAND OR, 97215-3817, US
Phone (503) 314-7871
Fax
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC000605
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According to our database, Ms. Heather Lock Heatlie L.AC. NPI is 1336216308, taxonomy code is 171100000X and license number is AC000605, license state is located at Oregon. Heather Lock Heatlie L.AC. physically located at 2216 Se 50th Ave, Portland OR, 97215-3827. NPI Number Heather Lock Heatlie L.AC. has the Individual type.

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1336216308 NPI number is provided on an as is basis without warranty of any kind. 1336216308 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Lock Heatlie L.AC. are for informational purposes only.