Leslie Jean Pederson RN, LAC.

NPI 1093781429 - Acupuncturist - 171100000X

NPI Details
NPI 1093781429
Gender Female
Enumeration Date 02/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
18521 NE EVERETT ST
PORTLAND OR, 97230-7236, US
Phone (503) 666-5198
Fax (503) 212-7789
Business Location
18521 NE EVERETT ST
PORTLAND OR, 97230-7236, US
Phone (503) 666-5198
Fax (503) 212-7789
Toxanomy
Taxonomy Code 171100000X
License State Oregon
License Number AC00381
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According to our database, Leslie Jean Pederson RN, LAC. NPI is 1093781429, taxonomy code is 171100000X and license number is AC00381, license state is located at Oregon. Leslie Jean Pederson RN, LAC. physically located at 18521 Ne Everett St, Portland OR, 97230-7236. NPI Number Leslie Jean Pederson RN, LAC. has the Individual type.

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1093781429 NPI number is provided on an as is basis without warranty of any kind. 1093781429 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Jean Pederson RN, LAC. are for informational purposes only.