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Individual

ARSIE WODESSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6188 SE OETKIN RD, MILWAUKIE, OR 97267-3207
(503) 997-3070
Mailing address
6188 SE OETKIN RD, MILWAUKIE, OR 97267-3207
(503) 997-3070

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39-4141410
OR
Enumeration date
12/15/2025
Last updated
12/15/2025
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