Susan Rebecca Mall, L.AC

NPI #1386932085 in Troutdale, Oregon

Provider Information

NPI Number: 1386932085
Entity Type: Individual
Name: Susan Rebecca Mall, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: Jul 14, 2011
Last Updated: Jul 14, 2011

Practice Location

Address: 110 E COLUMBIA RIVER HWY
City: Troutdale
State: Oregon
ZIP Code: 97060-2068
Phone: (503) 407-0397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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