Individual
NELL THYRZA RAFALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 SE BASELINE ST, HILLSBORO, OR 97123-4207
(888) 227-3312
Mailing address
955 SE BASELINE ST, HILLSBORO, OR 97123-4207
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA174450
OR
Other
Enumeration date
11/06/2014
Last updated
10/13/2021
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