Deda, Marya Eden

Deda, Marya Eden is an individual health care provider with primary practice located at 2933 Ne Broadway St , Portland OR 97232-1760. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Deda, Marya Eden can be contacted via phone (503) 282-2268.

Contact Information

Primary practice address
2933 Ne Broadway St Portland OR 97232-1760
Phone: (503) 282-2268
Fax: (503) 282-2863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC00978 Oregon

Profile Details

NPI number 1346213204
LBN Legal business name Deda, Marya Eden
Credentials LAC, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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