Individual
AGUSTIN FERNANDEZ ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10735 SE STARK ST STE 100, PORTLAND, OR 97216-2765
(971) 346-3313
Mailing address
3416 SE STARK ST APT B, PORTLAND, OR 97214-3367
(840) 234-7708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6508
OR
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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