Jaymi Costanzo

NPI #1447853213 in Gresham, Oregon

Provider Information

NPI Number: 1447853213
Entity Type: Individual
Name: Jaymi Costanzo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 1217 NE BURNSIDE RD STE 301
City: Gresham
State: Oregon
ZIP Code: 97030-5705
Phone: (503) 492-2625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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