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511 Sw 10th Ave Ste 801 Portland OR 97205-2709 | |
(503) 230-8973 | |
(503) 230-8978 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 511 Sw 10th Ave Ste 801, Portland, Oregon |
Authorized Official Name and Position | Kelly Lynn Raylinsky (NATUROPATHIC DOCOTR) |
Authorized Official Contact | 6032052311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2604 E Burnside St Portland OR 97214-1756 Ph: (603) 205-2311 | 511 Sw 10th Ave Ste 801 Portland OR 97205-2709 Ph: (503) 230-8973 |
NPI Number | 1639507965 |
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Provider Enumeration Date | 10/23/2013 |
Last Update Date | 10/23/2013 |
Identifier | Type | State | Issuer |
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1639507965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 1895 (Oregon) | Primary |
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