Kelly O'connor L.AC.

NPI 1720229008 - Acupuncturist - 171100000X

NPI Details
NPI 1720229008
Gender Female
Enumeration Date 03/16/2009
Last Updated 03/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
215 SE 9TH AVE STE 104
PORTLAND OR, 97214-1359, US
Phone (503) 233-1800
Fax
Business Location
3526 NE SHAVER ST
PORTLAND OR, 97212-1864, US
Phone (816) 510-9937
Fax
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC01260
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According to our database, Kelly O'connor L.AC. NPI is 1720229008, taxonomy code is 171100000X and license number is AC01260, license state is located at Oregon. Kelly O'connor L.AC. physically located at 215 Se 9th Ave Ste 104, Portland OR, 97214-1359. NPI Number Kelly O'connor L.AC. has the Individual type.

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1720229008 NPI number is provided on an as is basis without warranty of any kind. 1720229008 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly O'connor L.AC. are for informational purposes only.