Individual
DYLAN AUBREJUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4772 N AMHERST ST, PORTLAND, OR 97203-4501
(510) 206-5811
Mailing address
4772 N AMHERST ST, PORTLAND, OR 97203-4501
(510) 206-5811
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
10010548
OR
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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