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Individual

MR. RAYMOND JOHN OSTERHOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST/FA

Contact information

Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 338-7575
Mailing address
1135 GRAND AVE, ASTORIA, OR 97103-4033
(503) 468-8570

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
FL

Other

Enumeration date
05/21/2008
Last updated
08/22/2010
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