Individual
MR. TRISTAN CODRESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
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
156290
OR
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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