Michelle Gaulke Blackwood, LAC

NPI #1982780136 in Gresham, Oregon

Provider Information

NPI Number: 1982780136
Entity Type: Individual
Name: Michelle Gaulke Blackwood, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Oct 31, 2006
Last Updated: Apr 19, 2017

Practice Location

Address: 24850 SE STARK ST SUITE 200
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 665-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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