MR. Justin Thomas Janicki, L.AC, MACOM, DIPL.OM

NPI #1013152958 in Portland, Oregon

Provider Information

NPI Number: 1013152958
Entity Type: Individual
Name: MR. Justin Thomas Janicki, L.AC, MACOM, DIPL.OM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC, MACOM, DIPL.OM
Enumeration Date: Dec 5, 2008
Last Updated: Dec 5, 2008

Practice Location

Address: 5230 NE FREMONT ST
City: Portland
State: Oregon
ZIP Code: 97213-1735
Phone: (716) 680-0636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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