Individual
MANUELA RAVANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11390 SE 82ND AVE STE 801, PORTLAND, OR 97086-7637
(503) 653-5004
Mailing address
1870 EGAN WAY, LAKE OSWEGO, OR 97034-2726
(971) 340-6934
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10225545
OR
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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