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Individual

ALEKSANDR P CHERNOUSOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12520 SW GEM LN APT 804, BEAVERTON, OR 97005-1363
(971) 363-5155
Mailing address
12520 SW GEM LN APT 804, BEAVERTON, OR 97005-1363
(971) 363-5155

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
112734
OR

Other

Enumeration date
04/25/2025
Last updated
05/02/2025
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