Individual
EDUARDO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1800 E 19TH ST, THE DALLES, OR 97058-3389
(541) 296-7585
(541) 296-7610
Mailing address
4715 NE 14TH AVE., PORTLAND, OR 97211
(971) 998-3155
(503) 282-1697
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00255
OR
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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