Emma Ellsworth, LAC

NPI #1013542208 in Portland, Oregon

Provider Information

NPI Number
1013542208
Entity Type
Individual
Name
Emma Ellsworth, LAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Acupuncturist
Credential
LAC
Enumeration Date
Mar 8, 2020
Last Updated
Mar 8, 2020

Practice Location

Address
12778 SE STARK ST # 125
State
Oregon
ZIP Code
97233-1539
Phone
(503) 317-3113

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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