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Individual

TODD LEROY MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.T.(R) (MR)

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
1812 NW FLANDERS ST APT 2, PORTLAND, OR 97209-2038
(801) 698-0372

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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