Individual
SERENA HANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4425 SW CORBETT AVE, PORTLAND, OR 97239-4260
(503) 225-9033
Mailing address
4425 SW CORBETT AVE, PORTLAND, OR 97239-4260
(503) 225-9033
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7626
OR
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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