SearchOregonAcupuncturist

Jason Costello, LAC

NPI 1407997679 · on the registry since 2007 · sole proprietor

Practice

Address
909 Sw 12th Ave.
111
Portland, OR 97205
Phone
(310) 993-9429
Clinicians at this address
2

Registry record

Primary taxonomy
Acupuncturist
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon