MRS. Karen Sue Bonafede Gault, L.AC.

NPI #1912234246 in Lake Oswego, Oregon

Provider Information

NPI Number: 1912234246
Entity Type: Individual
Name: MRS. Karen Sue Bonafede Gault, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Nov 6, 2009
Last Updated: Nov 6, 2009

Practice Location

Address: 530 1ST ST
Address 2: SUITE B-1
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3248
Phone: (503) 804-0133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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