Provider / Organization | NPI | Date Certified |
---|---|---|
DENISE ADAN | 1376294868 | 2022-01-16 |
Denise Adan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376294868. Registration indicates Denise Adan is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
Entity Type | Individual |
Provider Name | Denise Adan LAC, LMT |
Practice Office Address | 2916 NE BROADWAY ST PORTLAND, OR US |
Practice Office Telephone | 5038946888 |
Mailing Address | 1500 NE 15TH AVE APT 241 PORTLAND, OR 972324415 US |
Business Telephone | 7733546789 |
Code | Practice | License No State |
---|---|---|
171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers |
IL |