Individual
ARIC NABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4223 SE 74TH AVE, PORTLAND, OR 97206-3415
(503) 481-6725
Mailing address
4223 SE 74TH AVE, PORTLAND, OR 97206-3415
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
22869
OR
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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