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Individual

NATALIE WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LE

Contact information

Practice address
11825 SW GREENBURG RD STE 111, TIGARD, OR 97223-6466
(503) 664-0585
Mailing address
15136 SW BURGUNDY ST, PORTLAND, OR 97224-2265
(503) 664-0585

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
9962
CA
374700000X
Technician
Primary
BAP-E-10249731
OR

Other

Enumeration date
12/18/2024
Last updated
12/18/2024
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