Most Relevant Information
Provider Data
| NPI Number: | 1003052366 |
| Provider Name: | COLLEEN R. BUNKER LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC01231 |
Most Important Dates
| Enumeration Date: | 12/16/2008 |
| Last Updated: | 12/16/2008 |
Provider Practice Location
4922 N VANCOUVER AVE
PORTLAND
OR
972172826
Practice Location Phone/Fax
| Phone: | 5034939398 |
| Fax: |
Provider Mailing Location
3073 SE PINE ST
PORTLAND
OR
972141957
Provider Mailing Phone/Fax
| Phone: | 5039391971 |
| Fax: |