Individual
ANDREW FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(503) 753-9052
Mailing address
420 NE MASON ST, PORTLAND, OR 97211-3479
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230407LPN
OR
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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