Individual
ANDREW ERIC VILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1133 NW 19TH AVE, #10, PORTLAND, OR 97209-1550
(503) 260-3199
Mailing address
1133 NW 19TH AVE, #10, PORTLAND, OR 97209-1550
(503) 260-3199
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170370
OR
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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