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1421 Se Ankeny St, Portland, OR 97214-1471 | |
(503) 284-6996 | |
(503) 459-4253 |
Full Name | |
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Type | Facility |
Speciality | Acupuncturist |
Location | 1421 Se Ankeny St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306019310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | (* (Not Available)) | Primary |
Provider Name | Megumi Nojima Moskowitz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740264100 PECOS PAC ID: 8921272089 Enrollment ID: I20111129000737 |
Mailing Address | Practice Location Address |
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1421 Se Ankeny St, Portland, OR 97214-1471 Ph: (503) 284-6996 | 1421 Se Ankeny St, Portland, OR 97214-1471 Ph: (503) 284-6996 |