Susan Vancleve, MACOM, LAC | |
22400 Se Stark St, Gresham, OR 97030-2656 | |
(503) 492-2600 | |
Not Available |
Full Name | Susan Vancleve |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 22400 Se Stark St, Gresham, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083850424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC01245 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susan Vancleve, MACOM, LAC 22400 Se Stark St, Gresham, OR 97030-2656 Ph: () - | Susan Vancleve, MACOM, LAC 22400 Se Stark St, Gresham, OR 97030-2656 Ph: (503) 492-2600 |
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