Individual
ALEXIS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(503) 489-4927
Mailing address
319 SE 78TH AVE, PORTLAND, OR 97215-1507
(786) 503-1717
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC195435
OR
Other
Enumeration date
09/18/2019
Last updated
02/09/2021
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