Nora Grod Lac LLC

NPI #1013260868 in Portland, Oregon

Provider Information

NPI Number: 1013260868
Entity Type: Organization
Organization Name: Nora Grod Lac LLC
Primary Specialty: Acupuncturist
Enumeration Date: Oct 17, 2012
Last Updated: May 10, 2017

Practice Location

Address: 1235 SE DIVISION ST
Address 2: STE 106A
City: Portland
State: Oregon
ZIP Code: 97202-1042
Phone: (503) 893-9289

Authorized Official

Name: NORA GROD, LAC
Title: OWNER
Phone: (503) 893-9289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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