Susan Vancleve, M.AC.O.M., L.AC.

NPI #1083850424 in Gresham, Oregon

Provider Information

NPI Number: 1083850424
Entity Type: Individual
Name: Susan Vancleve, M.AC.O.M., L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: M.AC.O.M., L.AC.
Enumeration Date: Jan 6, 2009
Last Updated: Jan 6, 2009

Practice Location

Address: 22400 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 492-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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