| Corina Lee Bruckner, LAC | |
| 
					1904 Elm St, Suite 4, Forest Grove, OR 97116-2553  | |
| (503) 490-4185 | |
| Not Available | 
| Full Name | Corina Lee Bruckner | 
|---|---|
| Gender | Female | 
| Speciality | Acupuncturist | 
| Location | 1904 Elm St, Forest Grove, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972861953 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 171100000X | Acupuncturist | AC156406 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Corina Lee Bruckner, LAC 41613 Nw Buckshire St, Banks, OR 97106-6006 Ph: (503) 490-4185  | Corina Lee Bruckner, LAC 1904 Elm St, Suite 4, Forest Grove, OR 97116-2553 Ph: (503) 490-4185  | 
Jane Burch Pesses, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2004 Main St Ste 200, Forest Grove, OR 97116 Phone: 503-992-1443 Fax: 503-316-1970  | |
Sacred Body Acupuncture And Massage, Llc Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1904 Elm St, Suite 4, Forest Grove, OR 97116 Phone: 503-490-4185  |