Individual
ILIA TUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 SE 122ND AVE APT 36, PORTLAND, OR 97233-1382
(971) 716-4869
Mailing address
2016 SE 122ND AVE APT 36, PORTLAND, OR 97233-1382
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
N25105805
OR
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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