Individual
TALA RAED ALKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8132 SW 186TH AVE, BEAVERTON, OR 97007-5530
(503) 384-8951
Mailing address
8132 SW 186TH AVE, BEAVERTON, OR 97007-5530
(503) 384-8951
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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