NPI 1003224510

Todd Wymer, LAC

Practitioner Acupuncturist Portland, OR

Practice location

Address: 1330 SE Cesar E Chavez Blvd, Portland, OR 97214-4322
Phone: (503) 232-1100
Mailing address: 130 SE 105th Ave APT B1, Portland, OR 97216-2955

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC165723 (OR)

Other Acupuncturist providers in Oregon →

Registry record

NPI: 1003224510
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2014
Record last updated: 28 Jul 2014

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.