Individual
ANDRES CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
12778 SE STARK ST, PORTLAND, OR 97233-1539
(714) 655-2095
Mailing address
19 SE 93RD AVE, PORTLAND, OR 97216-2131
(714) 655-2095
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC213128
OR
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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