Martin Maurus Kidwell, DAOM, L.AC.

NPI #1508999061 in Gladstone, Oregon

Provider Information

NPI Number: 1508999061
Entity Type: Individual
Name: Martin Maurus Kidwell, DAOM, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: DAOM, L.AC.
Enumeration Date: Mar 13, 2007
Last Updated: Apr 5, 2024

Practice Location

Address: 685 PORTLAND AVE
City: Gladstone
State: Oregon
ZIP Code: 97027-2117
Phone: (503) 891-2352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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