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Individual

SVETLANA TAYCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
831 NW COUNCIL DR, SUITE 125, GRESHAM, OR 97030-3721
(503) 661-3439
(503) 669-1360
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO25271
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022797
OR
Enumeration date
04/19/2006
Last updated
03/17/2010
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