Individual
NATALY RAVIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4314
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD209852
OR
390200000X
Student in an Organized Health Care Education/Training Program
63642
NY
Other
Enumeration date
03/24/2015
Last updated
07/29/2022
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