Audrey Czerew, Msaom, L.ac. Llc | |
1313 Se Bidwell St Portland OR 97202-6021 | |
(971) 230-8726 | |
Not Available |
Full Name | Audrey Czerew, Msaom, L.ac. Llc |
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Speciality | Clinic/center |
Location | 1313 Se Bidwell St, Portland, Oregon |
Authorized Official Name and Position | Audrey M Czerew (ACUPUNCTURIST) |
Authorized Official Contact | 9712308726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Audrey Czerew, Msaom, L.ac. Llc 1313 Se Bidwell St Portland OR 97202-6021 Ph: (971) 230-8726 | Audrey Czerew, Msaom, L.ac. Llc 1313 Se Bidwell St Portland OR 97202-6021 Ph: (971) 230-8726 |
NPI Number | 1134368285 |
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Provider Enumeration Date | 02/12/2009 |
Last Update Date | 02/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134368285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | AC00995 (Oregon) | Primary |
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