2926 NE FLANDERS ST STE 2C
PORTLAND, OR 97232-3259 US
Overview
Ancient Fern Medicine is a healthcare organization in the PORTLAND area. Ancient Fern Medicine primary office location is at 2926 NE FLANDERS ST STE 2C and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1053763466 and the information was updated approximately 10 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| AC161759 | OR |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 500669071 | OR |
| OREGON MEDICAL BOARD | AC161759 | OR |
| Taxonomy | State | Primary? |
|---|---|---|
| Acupuncturist - Taxonomy Code 171100000X | OR | Y |
| Single Specialty Group - Taxonomy Code 193400000X | OR | N |
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