Individual
HAAKON KUHNLE ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4035 MERCANTILE DR STE 112, LAKE OSWEGO, OR 97035-2587
(503) 850-4526
(503) 908-1555
Mailing address
2835 SE 25TH AVE, PORTLAND, OR 97202-1220
(713) 449-0918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5771
OR
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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