Individual
DR. GALIT PERETS AVRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
14962 NW NIGHTSHADE DR, PORTLAND, OR 97229-1597
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTH CARE
OR
Enumeration date
09/17/2010
Last updated
09/17/2010
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