Individual
CLARA CEDARBLADE FASHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D, L.AC
Contact information
Practice address
3115 NE SANDY BLVD., SUITE 231, PORTLAND, OR 97232
(503) 701-8766
Mailing address
3115 NE SANDY BLVD., SUITE 231, PORTLAND, OR 97232
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC164728
OR
175F00000X
Naturopath
Primary
1984
OR
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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