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Individual

ANDRII YES BYTIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 984-9918
Mailing address
1621 SW 29TH ST, TROUTDALE, OR 97060-1292
(503) 984-9918

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OR

Other

Enumeration date
06/02/2022
Last updated
06/03/2022
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