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Individual

VIDA TALEBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
2127 NW MILLER RD, PORTLAND, OR 97229-7501
(503) 292-2125
Mailing address
9627 NW LOGAN CT, PORTLAND, OR 97229-8057
(503) 296-7457

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1208
OR

Other

Enumeration date
11/17/2006
Last updated
07/08/2007
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