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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON RICHARD COSTELLO, LAC

Active Sole Proprietor

MR. JASON RICHARD COSTELLO, LAC is a Acupuncturist healthcare provider located in PORTLAND, Oregon. NPI 1407997679 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · PORTLAND, OR

Registration Details

NPI Number
1407997679
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2007 (19.481732290982 yrs)
Last Updated
Jul 8, 2007
License
AC00987 (OR)
Sole Proprietor
Yes

Practice Information

Address
909 SW 12TH AVE.
111
PORTLAND, OR, 972052070
Browse OR providers · Browse ZIP 97205
Phone
3109939429
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in PORTLAND, OR

Name Credential NPI
MS. JOANNA MARGARET DEHEN MAO 1316928591
TAYA S. LINDLEY LAC 1508847468
KAREN L FONG DC, LAC 1972584449
DR. WILLIAM B DUARTE DAOM, LAC 1427030311
DR. LILI ZHENG DAOM, L.AC. 1932181492
MS. LISA CAROL FRANCOLINI L.AC. 1548244411
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.