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Contact Information

SANDRA E TADDESSE, L.A.C.
506 NE 49TH AVE
PORTLAND, OR97292
 Phone: 503-232-2500
 Fax: 503-232-2700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SANDRA E TADDESSE · (Female)

NPI Number 1285761585
Status Active
Credentials L.A.C.
Entity Individual
Enumeration date 02/27/2007
Last updated 11/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 7049
  • OR License # AC00663
  • WA License # AC00002271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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