Organization
OPEN FIELD ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRISTAN CODRESCU L.AC (FOUNDER)
(971) 678-6839
Entity
Organization
Contact information
Practice address
3735 SE YAMHILL ST, PORTLAND, OR 97214-4352
(971) 678-6839
Mailing address
3735 SE YAMHILL ST, PORTLAND, OR 97214-4352
(971) 678-6839
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC156290
OR
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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