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Individual

MR. RICHARD BABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MANAGER

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-5010
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
10/11/2006
Last updated
07/16/2007
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