Beverly M. Madison L.ac. P.c.

NPI #1033315957 in Portland, Oregon

Provider Information

NPI Number: 1033315957
Entity Type: Organization
Organization Name: Beverly M. Madison L.ac. P.c.
Primary Specialty: Acupuncturist
Enumeration Date: Jun 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2524 NE 39TH AVE
City: Portland
State: Oregon
ZIP Code: 97212-2923
Phone: (503) 288-7661

Authorized Official

Name: BEVERLY M. MADISON, L.AC.
Title: ACUPUNCTURISTS
Phone: (503) 288-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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