Corina Lee Bruckner, L.AC

NPI #1972861953 in Forest Grove, Oregon

Provider Information

NPI Number: 1972861953
Entity Type: Individual
Name: Corina Lee Bruckner, L.AC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: Apr 27, 2012
Last Updated: Jan 16, 2017

Practice Location

Address: 1904 ELM ST
Address 2: SUITE 4
City: Forest Grove
State: Oregon
ZIP Code: 97116-2553
Phone: (503) 490-4185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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