NPI 1003052366

Colleen R. Bunker, LAC

Practitioner Acupuncturist Portland, OR

Practice location

Address: 4922 N Vancouver Ave, Portland, OR 97217-2826
Phone: (503) 493-9398
Mailing address: 3073 SE Pine St, Portland, OR 97214-1957

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC01231 (OR)

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Registry record

NPI: 1003052366
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2008
Record last updated: 16 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.