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Individual

CHEYENNE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
335 NE 18TH AVE, PORTLAND, OR 97232
(503) 297-7979
Mailing address
1675 SW MARLOW AVE, STE 110, PORTLAND, OR 97225
(503) 297-7979

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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