Individual
AVREL NUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 SW MARKET ST, SUITE L120, PORTLAND, OR 97201-5715
(503) 223-8147
(503) 226-2370
Mailing address
200 SW MARKET ST, SUITE L120, PORTLAND, OR 97201-5715
(503) 223-8147
(503) 226-2370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1607ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035316
—
OR
Enumeration date
11/08/2006
Last updated
07/09/2007
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