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Individual

NANCY LEE NAFTALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-PED, FIRST ASSIST

Contact information

Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCP2391
PEDORTHICS LICENSE #
OR
Enumeration date
11/03/2006
Last updated
07/08/2007
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