Individual
ANDREA REBECCA CHLADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
8317 SE 13TH AVE, PORTLAND, OR 97202-7101
(971) 757-6035
Mailing address
8317 SE 13TH AVE, PORTLAND, OR 97202-7101
(971) 757-6035
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC222240
OR
Other
Enumeration date
09/14/2017
Last updated
12/17/2024
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