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Other Service Providers Medical Genetics, Ph.D. Medical Genetics

Provider NPI: 1023449451

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
14718 NW LILIUM DR  PORTLAND, OR 97229-8963 US
Tel: 503-413-5214  Fax: 503-413-1273

Business Mailing Address:
14718 NW LILIUM DR  PORTLAND, OR 97229-8963 US
Tel: 503-413-5214  Fax: 503-413-1273

NPI Information:
NPI: 1023449451
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y170100000XOther Service Providers
Medical Genetics, Ph.D. Medical Genetics

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 170100000X





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